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Individual

AMY KYGER MARKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3333 DRUSILLA LN, SUITE A, BATON ROUGE, LA 70809-2418
(225) 924-4460
(225) 927-0547
Mailing address
1522 CITY PL, GONZALES, LA 70737-4538
(417) 234-0102
(225) 927-0547

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2011001804
MO
363A00000X
Physician Assistant
Primary
PA.200549
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2322443
LA
Enumeration date
01/25/2011
Last updated
02/04/2015
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