Organization
DR. K'S FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA HARVEY M.D. (PRESIDENT)
(229) 829-0294
Entity
Organization
Contact information
Practice address
2781 S COLUMBIA ST, SUITE A, BOGALUSA, LA 70427-7962
(229) 869-0294
Mailing address
2871 S. COLUMBIA ST, STE A, BOGALUSA, LA 70427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD206754
LSBME
—
Enumeration date
02/13/2017
Last updated
07/12/2023
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