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Individual

JOHN JOSEPH KIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT, MSN, DNP, FNPC

Contact information

Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 480-8066
(337) 480-8109
Mailing address
PO BOX 122108, DEPT 2108, DALLAS, TX 75312-2108
(337) 494-2919
(337) 494-3069

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
APO 4828
LA
363LF0000X
Family Nurse Practitioner
Primary
F1105011
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111356
LA
01
AP04828
NURSE PRACTITIONER
LA
01
RN700507
RN LICENSE
TX
Enumeration date
11/15/2005
Last updated
05/22/2024
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