Organization
DR. KEITH CALHOUN, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEITH CALHOUN M.D. (PHYSICIAN)
(318) 324-1414
Entity
Organization
Contact information
Practice address
4400 OLD STERLINGTON RD, MONROE, LA 71203-2396
(318) 324-1414
(318) 324-2120
Mailing address
4400 OLD STERLINGTON RD, MONROE, LA 71203-2396
(318) 324-1414
(318) 324-2120
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
024133
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571121
—
LA
Enumeration date
05/13/2010
Last updated
08/09/2010
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