Healthcare Provider Details

I. General information

NPI: 1902367246
Provider Name (Legal Business Name): KRISTIE SEARCY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 LA RUE MEDECINE ST
MARKSVILLE LA
71351-2637
US

IV. Provider business mailing address

4231 LA-1192
MARKSVILLE LA
71351
US

V. Phone/Fax

Practice location:
  • Phone: 318-409-5008
  • Fax: 318-409-5009
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number313051
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number313051
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: