Organization
KJA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J ANDERSON MD (OWNER)
(225) 241-6430
Entity
Organization
Contact information
Practice address
6438 PROVINCE LN, BATON ROUGE, LA 70808-3578
(225) 241-6430
Mailing address
6438 PROVINCE LN, BATON ROUGE, LA 70808-3578
(225) 241-6430
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.025273
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1577758
—
LA
01
—
4F361
MEDICARE
LA
01
—
MD.025273
LA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
04/03/2013
Last updated
04/03/2013
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