Provider Demographics
NPI:1033386800
Name:VECA, KENNETH LAWRENCE SR (MD)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:LAWRENCE
Last Name:VECA
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3008 PALM VISTA DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065
Mailing Address - Country:US
Mailing Address - Phone:504-887-7942
Mailing Address - Fax:504-780-2568
Practice Address - Street 1:3008 PALM VISTA DR
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065
Practice Address - Country:US
Practice Address - Phone:504-887-7942
Practice Address - Fax:504-780-2568
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA008993207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery