Individual
MR. KEITH MICHAEL POCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1750 MARTIN LUTHER KING BLVD.,, SUITE 107, HOUMA, LA 70360
(985) 851-0118
(985) 851-0116
Mailing address
403 HOLIDAY DRIVE, THIBODAUX, LA 70301
(985) 851-0118
(985) 851-0116
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A10444.RX
LA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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