Individual
KAITLYN P BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 S 6TH ST STE A, LEESVILLE, LA 71446-4470
(337) 239-8000
(337) 239-8003
Mailing address
500 S 6TH ST STE A, LEESVILLE, LA 71446-4470
(337) 239-8000
(337) 239-8003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
322198
LA
363AS0400X
Surgical Physician Assistant
322198
LA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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