Individual
MRS. KASEY WOODSON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 608-8002
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/16/2023
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