Individual
DR. KATHRYN KERISIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2323 METAIRIE RD, METAIRIE, LA 70001-5561
(504) 831-6633
Mailing address
2323 METAIRIE RD, METAIRIE, LA 70001-5561
(504) 831-6633
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD.204654
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1796263
—
LA
Enumeration date
05/13/2009
Last updated
04/30/2013
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