Organization
KIRK E. ELLIOTT, M.D. , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK EDWARD ELLIOTT M.D. (OWNER)
(337) 754-7254
Entity
Organization
Contact information
Practice address
DR KIRK ELLIOT, 410 OLIVE ST., ARNAUDVILLE, LA 70512-0187
(337) 754-7254
(337) 754-8047
Mailing address
DR KIRK ELLIOTT, PO BOX 187, ARNAUDVILLE, LA 70512-0187
(337) 754-7254
(337) 754-8047
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
023075
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1491063
—
LA
Enumeration date
10/18/2007
Last updated
06/02/2008
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