Individual
MRS. KARAN NICHOLE HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2751 ALBERT L BICKNELL DR, SUITE 2-D, SHREVEPORT, LA 71103-3920
(318) 221-2623
(318) 424-9850
Mailing address
2751 ALBERT L BICKNELL DR, SUITE 2-D, SHREVEPORT, LA 71103-3920
(318) 221-2623
(318) 424-9850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10582
LA
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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