| Kisatchie Medical Llc | |
|
3425 North Blvd Ste A Alexandria LA 71301-3608 | |
| (318) 473-1921 | |
| (318) 473-1922 |
| Full Name | Kisatchie Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 3425 North Blvd Ste A, Alexandria, Louisiana |
| Authorized Official Name and Position | Wendy Christina Godeaux (OFFICE MANAGER) |
| Authorized Official Contact | 3184731921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kisatchie Medical Llc 3425 North Blvd Ste A Alexandria LA 71301-3608 Ph: (318) 473-1921 | Kisatchie Medical Llc 3425 North Blvd Ste A Alexandria LA 71301-3608 Ph: (318) 473-1921 |
| NPI Number | 1831491141 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 11/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831491141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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