Individual
MR. KEVIN LEE GATLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12393 OLD MILLSTONE DR, GEISMAR, LA 70734-3238
(225) 673-1736
Mailing address
12393 OLD MILLSTONE DR, GEISMAR, LA 70734-3238
(225) 673-1736
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
96106
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467341
—
LA
Enumeration date
11/04/2005
Last updated
07/08/2007
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