Individual
KEVIN W MCELHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-7109
Mailing address
3000 34TH ST, METAIRIE, LA 70001-2016
(504) 834-2062
(504) 831-7429
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
099114
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475173
—
LA
05
—
201707101
—
TX
Enumeration date
01/23/2009
Last updated
07/14/2009
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