Individual
KATHRYN ANNE GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 345-2700
(985) 230-2159
Mailing address
PO BOX 2668, BUSINESS CTR - INS CREDENTIALING, HAMMOND, LA 70404-2668
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202940
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
202940
LA
Other
Enumeration date
12/18/2023
Last updated
02/05/2025
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