institution
Ksr Medical Llc
Medical Specialty Clinic/Center in Leesville, Louisiana
NPI 1346493269

Ksr Medical Llc is a Medical Specialty Clinic/Center based in Leesville, LA and is specialized in Medical Specialty. Ksr Medical Llc practices in Leesville, LA. The NPI Number for Ksr Medical Llc is 1346493269 and holds a License No. 202557 (Louisiana).

The current practice location address for Ksr Medical Llc is 1015 W Fertitta Blvd, Leesville, LA and can be reached out via phone at 337-239-4130 and via fax at 337-238-9030.

Location: 1015 W Fertitta Blvd, Leesville, LA, 71446-4646
institution
Provider Profile Details
NPI Number
1346493269
Provider Name
Ksr Medical Llc
Credential
Provider Entity Type
Organization
Address
1015 W Fertitta Blvd, Leesville, LA, 71446-4646
Phone Number
337-239-4130
Fax Number
337-238-9030
Provider Enumeration Date
10/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202557 01 LA LOUISIANA STATE LICENCE
institution
Provider Business Practice Location Address Details
Address
1015 W Fertitta Blvd
City
State
Zip
71446-4646
Phone Number
337-239-4130
Fax Number
337-238-9030
person
Provider Business Mailing Address Details
Address
1015 W Fertitta Blvd
City
State
Zip
71446-4646
Phone Number
337-239-4130
Fax Number
337-238-9030
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
202557 (Louisiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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