Healthcare Provider Details

I. General information

NPI: 1477336725
Provider Name (Legal Business Name): KAYTLIN VERRET MCKINNEY RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYTLIN TAYLOR VERRET

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58630 DELACROIX AVE
PLAQUEMINE LA
70764-3528
US

IV. Provider business mailing address

4317 EMORY AVE
BATON ROUGE LA
70808-4617
US

V. Phone/Fax

Practice location:
  • Phone: 225-685-9674
  • Fax:
Mailing address:
  • Phone: 225-685-9674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number212638
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number212638
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: