Organization
KEA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY JEFFERSON SCOTT LPC (CHIEF OPERATING OFFICER)
(318) 651-9363
Entity
Organization
Contact information
Practice address
2911 CAMERON ST, MONROE, LA 71201-3713
(318) 651-9363
(318) 651-9251
Mailing address
2911 CAMERON ST, MONROE, LA 71201-3713
(318) 651-9363
(318) 651-9251
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1476021
LA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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