| Kaleb M Killens, CRNA | |
|
433 Plaza St, Bogalusa, LA 70427-3729 | |
| (985) 730-6700 | |
| (985) 730-6713 |
| Full Name | Kaleb M Killens |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 433 Plaza St, Bogalusa, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003677337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 234381 (Louisiana) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 901888 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Anesthesia Care Stph Llc | 0749255909 | 65 |
| Entity Name | Total Anesthesia Care Stph Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669475190 PECOS PAC ID: 0749255909 Enrollment ID: O20040831000877 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
| Entity Name | Galleria Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962966796 PECOS PAC ID: 6507261740 Enrollment ID: O20210825003473 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleb M Killens, CRNA 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (985) 730-6700 | Kaleb M Killens, CRNA 433 Plaza St, Bogalusa, LA 70427-3729 Ph: (985) 730-6700 |
Henry Y Au, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St, Bogalusa Medical Center, Bogalusa, LA 70427 Phone: 504-813-1539 | |
Rodrigo A Lopez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6700 Fax: 985-730-6713 | |
Brian Douglas Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6700 Fax: 985-730-6713 | |
Darryl G. Hughes, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6705 Fax: 985-730-7183 | |
Mr. Matthew Lamar Lyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6700 Fax: 985-730-6713 | |
Damon Fortenberry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6700 Fax: 985-730-6713 |