Individual
NICOLE W MCKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
291 LIBERTY ST, HOUMA, LA 70360-4423
(985) 868-7882
(985) 876-1700
Mailing address
291 LIBERTY ST, HOUMA, LA 70360-4423
(985) 868-7882
(985) 876-1700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15069R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127957
—
LA
Enumeration date
03/23/2006
Last updated
09/25/2012
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