Individual
MINDY DECKER KASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
319 S TYLER ST, COVINGTON, LA 70433-3037
(985) 629-5470
Mailing address
319 S TYLER ST, COVINGTON, LA 70433-3037
(985) 629-5470
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP09128
LA
Other
Enumeration date
01/12/2017
Last updated
01/01/2020
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