Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

J Kevin Ingram Medical, Inc

Organization Family Medicine Physician · NPI 1871761619

J Kevin Ingram Medical, Inc provides Family Medicine Physician services in Vidalia, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1806 Carter St
Vidalia, LA 71373-3115 Not confirmed with CMS for 18 years — call before visiting
Phone: (318) 757-6526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD200671 (LA)

Record details

NPI number1871761619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnny Ingram — Owner · (318) 336-8166
NPI enumeratedFebruary 14, 2008
Last updated in NPPESJune 12, 2008
Mailing addressPo Box 14149, Baton Rouge, LA 70898-4149

Other providers in Vidalia