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Individual
CARISSA NICOLE KEIR
Active
Individual
CARISSA NICOLE KEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
303665
LA
176B00000X
Midwife
99275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16080017
CPM CERTIFICATION NUMBER
—
01
—
303665
LOUISIANA LICENSE NUMBER
LA
Enumeration date
08/25/2016
Last updated
05/24/2021
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