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NPI Code Detail

MEDICARE: ANAMARIE KEARNEY

MEDICARE: ANAMARIE KEARNEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist5429-02LA

General Provider Information

NPI Number : 1083921597
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAMARIE KEARNEY
Provider Business Mailing Address
First Line : 733 GREENWOOD DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-1727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 817 ROSEDALE DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-1739
Country : US
Telephone Number : 504-488-7554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2010
Last Update Date : 09/03/2010

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Directions to “ ANAMARIE KEARNEY ” Practice Location

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