Healthcare Provider Details

I. General information

NPI: 1144373390
Provider Name (Legal Business Name): KATHLEEN ATKINSON CRAPANZANO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5131 ODONOVAN DR SUITE 300
BATON ROUGE LA
70808-4782
US

IV. Provider business mailing address

5131 ODONOVAN DR SUITE 300
BATON ROUGE LA
70808-4782
US

V. Phone/Fax

Practice location:
  • Phone: 225-374-0400
  • Fax: 225-374-0430
Mailing address:
  • Phone: 225-374-0400
  • Fax: 225-374-0430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number019861
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: