Individual
MR. NOLAN KEITH GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-1121
(225) 358-1336
Mailing address
5228 LESAGE DR, GREENWELL SPRINGS, LA 70739-3853
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
043387
LA
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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