Ksr Medical LLC

NPI #1346493269 in Leesville, Louisiana

Provider Information

NPI Number
1346493269
Entity Type
Organization
Organization Name
Ksr Medical LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Oct 23, 2008
Last Updated
Oct 23, 2008

Practice Location

Address
1015 W FERTITTA BLVD
ZIP Code
71446-4646
Phone
(337) 239-4130

Authorized Official

Name
DR. KHALED MOSTAFA GHORAB, MD
Title
OWNER
Phone
(337) 239-4130

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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