Most Relevant Information
Provider Data
| NPI Number: | 1003690983 |
| Provider Name: | KEITA J GANT |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 4100 |
Most Important Dates
| Enumeration Date: | 08/22/2023 |
| Last Updated: | 08/22/2023 |
Provider Practice Location
10001 LAKE FOREST BLVD
SUITE 820
NEW ORLEANS
LA
701276200
Practice Location Phone/Fax
| Phone: | 5043425368 |
| Fax: |
Provider Mailing Location
10001 LAKE FOREST BLVD
SUITE 820
NEW ORLEANS
LA
701276200
Provider Mailing Phone/Fax
| Phone: | 5043425368 |
| Fax: |