Individual
KASEY GOODMAN BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
903 N 2ND ST, MONROE, LA 71201-5837
(318) 388-2050
Mailing address
617 N 2ND ST, MONROE, LA 71201-6235
(318) 366-5464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10105
LA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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