Individual
KATIE QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
433 PLAZA ST STE 1A, BOGALUSA, LA 70427-3729
(225) 730-6970
(985) 730-6398
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.203961
LA
208000000X
Pediatrics Physician
P2419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883042
—
LA
Enumeration date
04/21/2009
Last updated
10/05/2021
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