Kenneth Deaver, MD
Kenneth Deaver, MD is a Family Practice in Amite, Louisiana. Qualified in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Louisiana.
- Years since qualifying
- 10
- Licensed in
- CA, LA
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
301 Walnut StAmite, LA 70422-2025
Phone: (985) 748-9485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 420 Avenue F, Bogalusa, LA 70427-3634 — (985) 735-6735
Specialties & licences
| Hospitalist Physician (primary) | Taxonomy 208M00000X · Licence 167908 (CA) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 320128 (LA) |
Record details
| NPI number | 1649632878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 26, 2016 |
| Last updated in NPPES | November 29, 2021 |
| Certification date | April 10, 2021 |
| Mailing address | 9333 Imperial Hwy, Downey, CA 90242-2812 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Amite
-
Hospital Service District 2 of the Parish of Tangipahoa State of La
301 W Walnut St, Amite, LA 70422-2025 · (985) 748-7141