Kristy Keller Parent in Baton Rouge - Surgical
Kristy Keller Parent - NPI 1104081033
Kristy Keller Parent is a Surgical in Baton Rouge, Louisiana. Kristy Keller Parent practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kristy Keller Parent is 1104081033. The last update date is 2021-06-07.
Kristy Keller Parent's current location address is 5959 S Sherwood Forest Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2255260011 and fax number 2257659196. The mailing address for Kristy Keller Parent is 5959 S Sherwood Forest Blvd, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristy Keller Parent |
|---|---|
| Address | 5959 S Sherwood Forest Blvd, Baton Rouge, Louisiana |
| Phone Number | 2255260011 |
| Fax Number | 2257659196 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1104081033 |
|---|---|
| Provider Enumeration Date | 2008-07-21 |
| Last Updated Date | 2021-06-07 |
Provider Mailing Address Detail
| Address | 5959 S Sherwood Forest Blvd |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708166038 |
| Phone Number | 2255260011 |
| Fax Number | 2257659196 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 200187 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1170526 | LA | -- | |
| 7801816 | MS | -- |
Post Comment/ Review Below
What is the Kristy Keller Parent's 1104081033?
The Kristy Keller Parent's NPI (National Provider Identifier) Number is 1104081033. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kristy Keller Parent is physically located?
The Kristy Keller Parent is situated at the following address: 5959 S Sherwood Forest Blvd, Baton Rouge, LA 708166038.
What is Kristy Keller Parent's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kristy Keller Parent is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104081033 to Kristy Keller Parent?
The Centers for Medicare & Medicaid Services assigned the 1104081033 to Kristy Keller Parent on 2008-07-21.
As of what date was the information pertaining to Kristy Keller Parent, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kristy Keller Parent, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-06-07.
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