IndividualActive
Kenneth Civello, MD, MPH
NPI 1699745562 · Clinical Cardiac Electrophysiology Physician · Baton Rouge, LA
Provider details
- NPI number
- 1699745562
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 201354 (LA)
Practice location
7777 Hennessy Blvd
Suite 1000
Baton Rouge, LA 70808-4300
Phone: (225) 767-3900
Fax: (225) 766-2226
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Registry dates
- Enumerated
- 2006-01-24
- Last updated
- 2021-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.