Individual
KEYUNTA LAKEIL PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4430 HIGHWAY 22, MANDEVILLE, LA 70471-3310
(985) 626-3470
Mailing address
PO BOX 2021, PONCHATOULA, LA 70454-2021
(985) 662-2049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224850
LA
Other
Enumeration date
05/02/2022
Last updated
09/15/2022
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