MEDICARE: CONTEMPORARY FOOTSTEPS, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	06831R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467645465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTEMPORARY FOOTSTEPS, L.L.C.

Provider Business Mailing Address
First Line	:	606 COLONIAL DR
Second Line	:	SUITE A
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-6535
Country	:	US
Telephone Number	:	225-925-2055
Fax Number	:	225-926-9674

Provider Business Practice Location Address
First Line	:	606 COLONIAL DR
Second Line	:	SUITE A
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-6535
Country	:	US
Telephone Number	:	225-925-2055
Fax Number	:	225-926-9674

Authorized Official
Title or Position	:	OWNER / PHYSICIAN
Name	:	DR. HELEN KAYE HEDGEMON
Credential	:	M.D.
Telephone Number	:	225-925-2055

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	08/22/2007

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Directions to “CONTEMPORARY FOOTSTEPS, L.L.C. ” Practice Location

Language	Start Address	Practice Location

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