Individual
MRS. KIESHA G BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18439 MAGNOLIA EST, PRAIRIEVILLE, LA 70769-3204
(225) 268-7024
(225) 402-4218
Mailing address
18439 MAGNOLIA EST, PRAIRIEVILLE, LA 70769-3204
(225) 268-7024
(225) 402-4218
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
007484453
LA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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