Individual
DR. MISTY LEE KNEELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2480 HIGHWAY 33, RUSTON, LA 71270-5093
(318) 224-2404
Mailing address
PO BOX 486, LAKE FOREST, IL 60045-0486
(800) 444-6110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101262957
VA
207L00000X
Anesthesiology Physician
01371
NC
207L00000X
Anesthesiology Physician
144982
FL
207L00000X
Anesthesiology Physician
304089
NY
207L00000X
Anesthesiology Physician
325606
LA
207L00000X
Anesthesiology Physician
68751-20
WI
207L00000X
Anesthesiology Physician
77841
GA
207L00000X
Anesthesiology Physician
Primary
E-6522
AR
Other
Enumeration date
05/09/2007
Last updated
05/09/2024
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