Individual
DR. RANDALL DENISON KEATOR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
140 E 5TH ST, NATCHITOCHES, LA 71457-5725
(318) 357-8194
(318) 352-3145
Mailing address
140 E 5TH ST, NATCHITOCHES, LA 71457-5725
(318) 357-8194
(318) 352-3145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
778-078T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1198561
—
LA
05
—
1407895
—
LA
Enumeration date
01/18/2007
Last updated
07/08/2013
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