Individual
MS. KATHERINE TOUPS GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Mailing address
8080 BLUEBONNET BLVD, SUITE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TA5002
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06635831
—
MS
05
—
1109916
—
LA
Enumeration date
08/23/2006
Last updated
10/31/2016
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