# KIRK E. ELLIOTT M.D. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871915389
- **Authorized official:** KIRK E ELLIOTT MD (SOLE MEMBER)
- **Authorized official phone:** (337) 754-7254

## Contact information

- **Practice address:** 410 OLIVE ST, ARNAUDVILLE, LA 70512-6154
- **Practice address phone:** (337) 754-7254
- **Practice address fax:** (337) 754-8047
- **Mailing address:** PO BOX 187, ARNAUDVILLE, LA 70512-0187
- **Mailing address phone:** (337) 754-7254
- **Mailing address fax:** (337) 754-8047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | LA | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | LA | — |

## Other

- **Enumeration date:** 01/17/2014
- **Last updated:** 01/17/2014