Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J Kevin Ingram Medical, Inc

Organization Family Medicine Physician · NPI 1871761619

J Kevin Ingram Medical, Inc is a Family Medicine Physician in Vidalia, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1806 Carter St
Vidalia, LA 71373-3115
Phone: (318) 757-6526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD200671 (LA)

Record details

NPI number1871761619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnny Ingram — Owner · (318) 336-8166
NPI enumeratedFebruary 14, 2008
Last updated in NPPESJune 12, 2008
Mailing addressPo Box 14149, Baton Rouge, LA 70898-4149

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