Organization
NORTHEAST LOUISIANA KIDNEY SPECIALISTS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI WILLIAMS (CREDENTIALING/BILLING)
(318) 323-8847
Entity
Organization
Contact information
Practice address
711 WOOD ST, STE A, MONROE, LA 71201-7549
(318) 323-8847
(318) 327-3410
Mailing address
711 WOOD ST, STE A, MONROE, LA 71201-7549
(318) 323-8847
(318) 327-3410
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949132
—
LA
Enumeration date
05/16/2006
Last updated
12/14/2009
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