Individual
KATHLEEN MCCRANEY BROWN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7645 JEFFERSON HWY, BATON ROUGE, LA 70809-1102
(225) 767-2686
Mailing address
4693 HYACINTH AVE, BATON ROUGE, LA 70808-3822
(225) 226-2774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212619
LA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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