Healthcare Provider Details

I. General information

NPI: 1487943171
Provider Name (Legal Business Name): EMILY LAUREN KLEPPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 10/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 HENNESSY BLVD
BATON ROUGE LA
70808-4300
US

IV. Provider business mailing address

7777 HENNESSY BLVD SUITE 103
BATON ROUGE LA
70808-4300
US

V. Phone/Fax

Practice location:
  • Phone: 318-470-3095
  • Fax:
Mailing address:
  • Phone: 225-767-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number206900
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.206900
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: