Kanitra Elmore, is a
Registered Nurse based in Lake Providence, Louisiana. Kanitra Elmore is licensed to practice in Louisiana (license number 111966) and her current practice location is
202 Lake St, Lake Providence, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 552-5126.
NPI number for Kanitra Elmore is 1962995688 and her current mailing address is 2984 Highway 80 W Lot 58, Calhoun, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962995688.
Provider's Profile
Full Name | Kanitra Elmore |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 202 Lake St, Lake Providence, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962995688
- Provider Enumeration Date: 06/07/2018
- Last Update Date: 06/07/2018
Medical Identifiers
Medical identifiers for Kanitra Elmore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962995688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 111966 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kanitra Elmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kanitra Elmore, 2984 Highway 80 W Lot 58, Calhoun, LA 71225-7915 Ph: (318) 552-5126 | Kanitra Elmore, 202 Lake St, Lake Providence, LA 71254-2628 Ph: (318) 552-5126 |
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