Keenan James Buie
Student in an Organized Health Care Education/Training Program in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1003519620
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1003519620
- Entity type
- Individual (NPI-1)
- Name
- Keenan James Buie
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2023
- Certification date
- Mar 23, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
5000 Hennessy BlvdBaton Rouge, LA 70808-4375
Phone 225-281-0127
Mailing address
5000 Hennessy BlvdBaton Rouge, LA 70808-4375
Phone 225-281-0127
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