Organization
AXCESS MEDICAL CLINIC, INC
Active
Other names
Functional Rehabilitation Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C KNIGHT JR. (PRESIDENT)
(504) 909-4554
Entity
Organization
Contact information
Practice address
524 ELMWOOD PARK BLVD, SUITE 100, HARAHAN, LA 70123-3339
(504) 734-2393
(504) 467-6002
Mailing address
PO BOX 6673, METAIRIE, LA 70009-6673
(504) 734-2393
(504) 467-6002
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
026430
LA
Other
Enumeration date
07/08/2008
Last updated
08/18/2008
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