Kisatchie Emergency Group, LLC

NPI #1235693847 in Leesville, Louisiana

Provider Information

NPI Number: 1235693847
Entity Type: Organization
Organization Name: Kisatchie Emergency Group, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 28, 2019
Last Updated: Mar 23, 2022

Practice Location

Address: 1020 W FERTITTA BLVD
City: Leesville
State: Louisiana
ZIP Code: 71446-4645
Phone: (337) 239-5278

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (337) 609-1221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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