Individual
KIRK ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 OLIVE ST, ARNAUDVILLE, LA 70512-0187
(337) 754-7254
(337) 754-8047
Mailing address
PO BOX 187, ARNAUDVILLE, LA 70512-0187
(337) 754-7254
(337) 754-8047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023075
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1491063
—
LA
Enumeration date
07/12/2006
Last updated
05/30/2008
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