Provider Demographics
NPI:1891717690
Name:HOWELL, JOSEPH KERRY (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:KERRY
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 RUE DE LA VIE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5127
Mailing Address - Country:US
Mailing Address - Phone:225-924-8550
Mailing Address - Fax:
Practice Address - Street 1:7112 MONITEAU CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1163
Practice Address - Country:US
Practice Address - Phone:225-925-0901
Practice Address - Fax:225-926-1872
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10684207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1138452Medicaid
5L549Medicare ID - Type Unspecified
5L5492221Medicare PIN
LA1138452Medicaid