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

Dr. Kenneth Richmond Habetz, MD

Individual provider Epilepsy Physician · NPI 1568788479

Dr. Kenneth Richmond Habetz, MD is a Pediatric Medicine in Lafayette, Louisiana. Qualified in 2010, 16 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Louisiana.

Years since qualifying
16
Licensed in
AR, LA
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4704 Ambassador Caffery Pkwy
Lafayette, LA 70508-6908
Phone: (337) 470-5920
Fax: (855) 431-6867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4704 Ambassador Caffery Pkwy Fl 2, Lafayette, LA 70508-6908 — (337) 470-5920

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 301679 (LA)
Epilepsy Physician Taxonomy 2084E0001X · Licence 301679 (LA)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence E9239 (AR)

Record details

NPI number1568788479
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2010
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount