Individual
KRISTY A KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5400 E. TEXAS ST, BOSSIER CITY, LA 71111
(318) 675-1313
(888) 965-0619
Mailing address
5400 E. TEXAS ST, BOSSIER CITY, LA 71111
(318) 675-1313
(888) 965-0619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200338
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1823007
—
LA
Enumeration date
03/16/2010
Last updated
12/16/2022
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