Organization
KOEPP KARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE ANN KOEPP FNP-C (MANAGER)
(985) 515-9446
Entity
Organization
Contact information
Practice address
915 W 13TH AVE, COVINGTON, LA 70433-2407
(985) 515-9446
Mailing address
915 W 13TH AVE, COVINGTON, LA 70433-2407
(985) 515-9446
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
F0612200
LA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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