Provider Demographics
NPI:1184891954
Name:CARTWRIGHT, KEVIN DOUGLAS (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:DOUGLAS
Last Name:CARTWRIGHT
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 1:1430 TULANE AVE
Mailing Address - Street 2:SL-48
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112
Mailing Address - Country:US
Mailing Address - Phone:504-988-5152
Mailing Address - Fax:504-988-4237
Practice Address - Street 1:3715 PRYTANIA ST STE 400
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3768
Practice Address - Country:US
Practice Address - Phone:504-897-8276
Practice Address - Fax:504-897-8336
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.204130207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease