Healthcare Provider Details

I. General information

NPI: 1750909214
Provider Name (Legal Business Name): EMMA ROSE KAYAL DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT LA
71106-8158
US

IV. Provider business mailing address

16501 SW 81ST AVE
PALMETTO BAY FL
33157-3705
US

V. Phone/Fax

Practice location:
  • Phone: 318-687-8447
  • Fax:
Mailing address:
  • Phone: 305-781-1411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD.0000937
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number346787
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO4465
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD.0000937
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number346787
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: