Individual
AMANDA BUCHER KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8595 PICARDY AVE STE 235, BATON ROUGE, LA 70809-0610
(225) 381-2615
Mailing address
8595 PICARDY AVE STE 235, BATON ROUGE, LA 70809-0610
(225) 381-2615
(225) 381-2638
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009077500
DRIVERS LICENSE NUMBER
LA
05
—
2420739
—
LA
01
—
302198
PA LICENSE
LA
Enumeration date
04/28/2016
Last updated
11/02/2021
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