Individual
DR. KELLIE D SCHMEECKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4950 ESSEN LANE, BATON ROUGE, LA 70809-3482
(225) 767-1311
(225) 767-1335
Mailing address
4950 ESSEN LANE, ATTN: KRISTIE SIEMANN, BATON ROUGE, LA 70809-3482
(225) 215-1311
(225) 215-1380
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
025615
LA
207RH0003X
Hematology & Oncology Physician
Primary
25615
LA
207RX0202X
Medical Oncology Physician
025615
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025615
STATE LICENSE NUMBER
LA
05
—
1043389
—
LA
Enumeration date
04/23/2007
Last updated
04/07/2021
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