Individual
KAYCIE FONTENOT SETLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(866) 624-7637
Mailing address
1596 RIVERVIEW LN, SHREVEPORT, LA 71104-1823
(337) 466-8272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
324326
LA
Other
Enumeration date
10/07/2020
Last updated
12/19/2020
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