Provider Demographics
NPI:1053417352
Name:KINCHEN, ERNEST WASHINGTON (MD)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:WASHINGTON
Last Name:KINCHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:120 NICKERSON PKWY
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-6510
Mailing Address - Country:US
Mailing Address - Phone:337-706-3428
Mailing Address - Fax:337-706-3460
Practice Address - Street 1:2100 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-8556
Practice Address - Country:US
Practice Address - Phone:337-706-3428
Practice Address - Fax:337-706-3460
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.010362207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine