Individual
KYRON LAKEITH ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14445 SILVERTHORN AVE, BATON ROUGE, LA 70819-2032
(225) 772-3351
Mailing address
14445 SILVERTHORN AVE, BATON ROUGE, LA 70819-2032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139791
TX
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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