Individual
KATHRYN ELYSE MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
865 HATCHELL LN, DENHAM SPRINGS, LA 70726-3019
(225) 380-1894
Mailing address
207 SUZANNE DEJEAN DR, OPELOUSAS, LA 70570-0718
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
308035
LA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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