Individual
KASI M. ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1541 KINGS HIGHWAY, EMERGENCY MEDICINE, SHREVEPORT, LA 71130-3932
(318) 626-2326
Mailing address
1541 KINGS HIGHWAY, EMERGENCY MEDICINE, SHREVEPORT, LA 71130-3932
(318) 626-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
328079
LA
207P00000X
Emergency Medicine Physician
Primary
T5504
TX
Other
Enumeration date
03/29/2019
Last updated
10/10/2024
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