Individual
MS. KATHLEEN ANN MAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
56 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 871-0095
(985) 871-0529
Mailing address
1375 CORPORATE SQUARE DR, SLIDELL, LA 70458-3147
(985) 726-2655
(985) 643-9808
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN076670 AP05454
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348228
—
LA
Enumeration date
05/07/2008
Last updated
05/17/2010
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