Individual
KIRK N ROSSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 643-2200
Mailing address
120 INNWOOD DR, COVINGTON, LA 70433-9123
(985) 892-3225
(985) 234-0628
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200905
LA
207L00000X
Anesthesiology Physician
95309
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04835717
—
MS
05
—
1075655
—
LA
Enumeration date
08/05/2007
Last updated
09/23/2024
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