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

Kenneth Joseph Waddell

Individual provider Certified Registered Nurse Anesthetist · NPI 1912761768

Kenneth Joseph Waddell is a Certified Registered Nurse Anesthetist (CRNA) in Lake Charles, Louisiana. Qualified in 2023, 3 years ago. Practices with Lcms Cardiovascular Diseases, LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
3
Licensed in
LA
In the registry since
2024

Practice location Address checks out

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone: (337) 494-3000
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 234093 (LA)

Record details

NPI number1912761768
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 24, 2024
Certification dateFebruary 24, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lcms Cardiovascular Diseases, Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Charles