Kisatchie Medical LLC
NPI #1831491141 in Alexandria, Louisiana
Provider Information
- NPI Number
- 1831491141
- Entity Type
- Organization
- Organization Name
- Kisatchie Medical LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Nov 19, 2010
- Last Updated
- Nov 19, 2010
Practice Location
- Address
- 3425 NORTH BLVD STE A
- City
- Alexandria
- State
- Louisiana
- ZIP Code
- 71301-3608
- Phone
- (318) 473-1921
Authorized Official
- Name
- MRS. WENDY CHRISTINA GODEAUX
- Title
- OFFICE MANAGER
- Phone
- (318) 473-1921
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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