NPI 1508230368

Keisha Green

Practitioner Adult Companion Lake Charles, LA

Practice location

Address: 2616 General Patton St, Lake Charles, LA 70615-8116
Phone: (337) 425-2085

Registered specialties (4)

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Attendant Care Provider

Nursing Service Related Providers Taxonomy 3747A0650X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1508230368
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2015
Record last updated: 17 Nov 2015

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.