Full Name | |
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Speciality | General Practice |
Location | 108 6th Ave, Kinder, Louisiana |
Authorized Official Name and Position | Richard W Stokes (CFO) |
Authorized Official Contact | 3377386318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
108 6th Ave Kinder LA 70648-3187 Ph: (337) 738-9424 | 108 6th Ave Kinder LA 70648-3187 Ph: (337) 738-9424 |
NPI Number | 1356090054 |
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Provider Enumeration Date | 03/21/2022 |
Last Update Date | 03/05/2024 |
Certification Date | 03/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356090054 | NPI | - | NPPES |