Most Relevant Information
Provider Data
| NPI Number: | 1003519620 |
| Provider Name: | KEENAN JAMES BUIE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/23/2023 |
| Last Updated: | 03/23/2023 |
Provider Practice Location
5000 HENNESSY BLVD
BATON ROUGE
LA
708084375
Practice Location Phone/Fax
| Phone: | 2252810127 |
| Fax: |
Provider Mailing Location
5000 HENNESSY BLVD
BATON ROUGE
LA
708084375
Provider Mailing Phone/Fax
| Phone: | 2252810127 |
| Fax: |