Provider Demographics
NPI:1629006325
Name:KEVIN E. MCLAUGHLIN, M.D., APMC
Entity Type:Organization
Organization Name:KEVIN E. MCLAUGHLIN, M.D., APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-845-2677
Mailing Address - Street 1:350 LAKEVIEW CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7514
Mailing Address - Country:US
Mailing Address - Phone:985-867-5494
Mailing Address - Fax:985-867-5498
Practice Address - Street 1:350 LAKEVIEW CT
Practice Address - Street 2:SUITE A
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7514
Practice Address - Country:US
Practice Address - Phone:985-867-5494
Practice Address - Fax:985-867-5498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16152207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1568171Medicaid
LAG89098Medicare UPIN
LA5H231Medicare ID - Type Unspecified