Individual
KASEY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P,
Contact information
Practice address
605 MEDICAL CENTER DR STE B, ALEXANDRIA, LA 71301-8145
(225) 767-0822
(225) 769-5424
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP04068
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1149713
—
LA
01
—
500028724
RAILROAD MEDICARE
LA
Enumeration date
10/11/2006
Last updated
01/03/2023
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