Individual
EDMOND KALIFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 DR. CHILDRESS DR., MARKSVILLE, LA 71351
(318) 256-3332
(318) 409-4040
Mailing address
P.O. BOX 97, MARKSVILLE, LA 71351
(504) 258-8340
(318) 409-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008927
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1062791
—
LA
05
—
1943681
—
LA
Enumeration date
06/01/2005
Last updated
02/11/2020
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