Individual
TAYLAR CHILDRESS MCKEITHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8595 PICARDY AVE, SUITE #320, BATON ROUGE, LA 70809-3670
(225) 237-1880
(225) 237-1899
Mailing address
8490 PICARDY AVE, SUITE #200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.204160
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1974641
—
LA
01
—
298168YNOH
MEDICARE PTAN
LA
Enumeration date
04/12/2009
Last updated
09/23/2014
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