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Individual

KELISIA BURKS MCKAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
200 W ESPLANADE AVE, SUITE 205, KENNER, LA 70065-2489
(504) 412-1705
(504) 412-1702
Mailing address
423 AVENUE PALAIS ROYAL, P.O. BOX 3059, COVINGTON, LA 70433-6403
(985) 809-7954

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO4592
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528820
LA
Enumeration date
06/20/2006
Last updated
01/22/2009
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