Individual
MAGGIE ELIZABETH KINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
Mailing address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN136184
LA
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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