Individual
MARY KATHLEEN MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1410
(225) 374-1616
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 374-1410
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15595R
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
15595R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1070467
—
LA
Enumeration date
02/23/2006
Last updated
03/11/2025
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