Individual
KATHERINE AYCOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5101 HIGHWAY 167 S, OPELOUSAS, LA 70570-8980
(337) 943-7128
(337) 407-9645
Mailing address
PO BOX 250, OPELOUSAS, LA 70571-0250
(337) 943-7128
(337) 407-9645
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN024176
LA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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