person
Mr. Kevin O Mixon, NP
Psychiatric/Mental Health Nurse Practitioner in Hammond, Louisiana
NPI 1588803928

Kevin O Mixon is a Psychiatric/Mental Health Nurse Practitioner based in Hammond, LA and is specialized in Psychiatric/Mental Health. Kevin O Mixon practices in Hammond, LA and has the professional credentials of NP. The NPI Number for Kevin O Mixon is 1588803928 and holds a License No. AP03979 (Louisiana).

The current practice location address for Kevin O Mixon is 15770 Paul Vega Md Dr Ste 202, Hammond, LA and can be reached out via phone at 985-230-7495 and via fax at 985-230-7496. You can also correspond with Kevin O Mixon through the mailing address at PO BOX 3087, HAMMOND, LA - 70404-3087 (mailing address contact number: 985-230-7495).

Location: 15770 Paul Vega Md Dr Ste 202, Hammond, LA, 70404-3087
person
Provider Profile Details
NPI Number
1588803928
Provider Name
Kevin O Mixon
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
15770 Paul Vega Md Dr Ste 202, Hammond, LA, 70404-3087
Phone Number
985-230-7495
Fax Number
985-230-7496
Provider Enumeration Date
02/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01359174 01 LA MEDICARE RR
2142348 05 LA
institution
Provider Business Practice Location Address Details
Address
15770 Paul Vega Md Dr Ste 202
City
State
Zip
70403-1475
Phone Number
985-230-7495
Fax Number
985-230-7496
person
Provider Business Mailing Address Details
Address
15770 Paul Vega Md Dr Ste 202
City
State
Zip
70403-1475
Phone Number
985-230-7495
Fax Number
985-230-7496
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP03979 (Louisiana)
Definition
Definition to come...
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