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Individual

DR. KEYNA JURI WHITNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
73153 MILITARY RD, COVINGTON, LA 70435-6054
(985) 626-6133
(985) 626-6136
Mailing address
13675 COURSEY BLVD, APT. 1525, BATON ROUGE, LA 70817-1344
(225) 751-8165

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200566
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1071048
LA
Enumeration date
07/07/2006
Last updated
07/08/2007
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