Individual
KATIE MAE GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40198 BYERS RD, PONCHATOULA, LA 70454-6144
(985) 400-1556
Mailing address
40198 BYERS RD, PONCHATOULA, LA 70454-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
10/22/2025
Last updated
01/21/2026
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