Individual
MRS. MAMIE CORTEZ KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
735 W 5TH ST, LA PLACE, LA 70068-5505
(985) 652-9504
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
320053
LA
363A00000X
Physician Assistant
—
LA
Other
Enumeration date
06/25/2019
Last updated
11/28/2023
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