Individual
MRS. NATALIE KETSIA ALPHONSE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6917
(225) 286-7917
Mailing address
PO BOX 1300, GONZALES, LA 70707-1300
(225) 644-3940
(225) 286-7917
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
344149
LA
2085R0001X
Radiation Oncology Physician
Primary
ME148133
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
06/17/2013
Last updated
02/12/2026
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