Individual
MRS. KAREN HARTELY KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
323 W WALNUT AVE, BASTROP, LA 71220-4521
(318) 283-3600
Mailing address
PO BOX 1060, BASTROP, LA 71221-1060
(318) 283-3600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
81902-03958
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1128210
—
LA
Enumeration date
03/05/2007
Last updated
08/18/2022
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