Whalio Doctors

NPI 1669654547

Kea,inc

Organisation Health Maintenance Organization Monroe, LA

Practice location

Address
2911 Cameron St, Monroe, LA 71201-3713
Phone
(318) 651-9363
Fax
(318) 651-9251

Authorised official

Name
Kerry Jefferson Scott
Title
Chief Operating Officer
Phone
(318) 651-9363

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence 1476021 (LA)

Registry record

NPI
1669654547
Entity type
Organization
NPI issued
3 Dec 2007
Record last updated
3 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.