Individual
KELLY J SCRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10101 PARK ROWE AVE., SUITE 200, BATON ROUGE, LA 70810
(225) 769-2200
(225) 768-2185
Mailing address
PO BOX 98509, BATON ROUGE, LA 70884-9509
(225) 769-2200
(225) 768-2185
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
023876T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581275
—
LA
Enumeration date
04/20/2006
Last updated
03/27/2008
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