Healthcare Provider Details

I. General information

NPI: 1023956638
Provider Name (Legal Business Name): KHALILAH FRANKLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 S TYLER ST
COVINGTON LA
70433-2330
US

IV. Provider business mailing address

1202 S TYLER ST
COVINGTON LA
70433-2330
US

V. Phone/Fax

Practice location:
  • Phone: 985-237-8449
  • Fax:
Mailing address:
  • Phone: 985-237-8449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN116410
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: