Individual
KEITH ELIOT STRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE SAINT MARY PLACE, SHREVEPORT, LA 71101-4343
(318) 381-6174
(318) 681-6162
Mailing address
ONE SAINT MARY PLACE, SHREVEPORT, LA 71101-4343
(318) 681-6174
(318) 681-6162
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
16379
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
16379
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD.16379
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1389838
—
LA
Enumeration date
09/20/2006
Last updated
05/10/2011
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