Search › Louisiana › 163W00000X

Kanitra Elmore

NPI 1962995688 · on the registry since 2018

Practice

Address
202 Lake St
Lake Providence, LA 71254
Phone
(318) 552-5126
Fax
(318) 552-5127

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana