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Organization
RED STICK HEALTHCARE
Active
Organization
RED STICK HEALTHCARE
Active
Other names
Red Stick Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRBY D HUMBLES NP (OWNER)
(225) 931-3532
Entity
Organization
Contact information
Practice address
16733 WENWOOD DR, BATON ROUGE, LA 70817-6957
(225) 931-3532
Mailing address
16733 WENWOOD DR, BATON ROUGE, LA 70817-6957
(225) 931-3532
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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