NPI

Kenneth J. Champagne

NPI 1740284454

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2005-06-09
Last updated
2021-10-01

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Specialties

Licenses

License LA
MD.017238

Location

Practice location
102 Drury Ln
City
Lafayette LA
Postal code
70508-5702
Phone
(337) 233-0219

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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