Individual
KATHY HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7777 HENNESSY BLVD, STE 701, BATON ROUGE, LA 70808-4300
(225) 765-5864
(225) 765-2013
Mailing address
7777 HENNESSY BLVD, STE 701, BATON ROUGE, LA 70808-4300
(225) 765-5864
(225) 765-2013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP03709
LA
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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