Individual
KATHERINE CAVANAUGH BOECKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 842-3173
Mailing address
810 EUTERPE ST APT 9411, NEW ORLEANS, LA 70130-8629
(405) 436-5992
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
323214
LA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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