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Keona Monique Isaac
Prosthetic/Orthotic Supplier in Tallulah, Louisiana
NPI 1609647726

Keona Monique Isaac is a Prosthetic/Orthotic Supplier based in Tallulah, LA. Keona Monique Isaac practices in Tallulah, LA. The NPI Number for Keona Monique Isaac is 1609647726 and holds a License No. 1334671108 (Louisiana).

The current practice location address for Keona Monique Isaac is 120 Kimbrough Blvd, Tallulah, LA and can be reached out via phone at 318-341-6785.

Location: 120 Kimbrough Blvd, Tallulah, LA, 71282-4307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609647726
Provider Name
Keona Monique Isaac
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 Kimbrough Blvd, Tallulah, LA, 71282-4307
Phone Number
318-341-6785
Fax Number
Provider Enumeration Date
01/09/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Kimbrough Blvd
City
Tallulah
State
Louisiana
Zip
71282-4307
Phone Number
318-341-6785
Fax Number
person
Provider Business Mailing Address Details
Address
120 Kimbrough Blvd
City
Tallulah
State
Louisiana
Zip
71282-4307
Phone Number
318-341-6785
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1334671108 (Louisiana)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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