Individual
MR. CHRISTOPHER CHARLES KEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
20050 CRESTWOOD BLVD, COVINGTON, LA 70433-5207
(985) 892-7070
(985) 892-7017
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP06800
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2182382
—
LA
Enumeration date
01/04/2012
Last updated
07/21/2022
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