Organization
ACCESS HEALTH LOUISIANA
Active
Other names
Kenner Community Health Center, GNOCHC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEISER (PRESIDENT)
(504) 575-3712
Entity
Organization
Contact information
Practice address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
(504) 575-3691
Mailing address
1401 W ESPLANADE AVE, SUITE 108-A, KENNER, LA 70065-2845
(985) 307-1600
(504) 575-3691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11532
LA
207Q00000X
Family Medicine Physician
Primary
MD023712
LA
2084P0800X
Psychiatry Physician
MD206029
LA
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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