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NPI Code Detail

MEDICARE: KECIA KIRKES FNP

MEDICARE:   KECIA  KIRKES  FNP
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
1363LF0000XFamily Nurse Practitioner215920LA

General Provider Information

NPI Number : 1568061950
Entity Type Code : Individual
Provider Name (Legal Business Name) : KECIA KIRKES FNP
Provider Business Mailing Address
First Line : 16076 LENI DR
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-6583
Country : US
Telephone Number : 337-368-8485
Fax Number :
Provider Business Practice Location Address
First Line : 1818 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-8321
Country : US
Telephone Number : 337-368-8485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2020
Last Update Date : 08/21/2025

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Directions to “ KECIA KIRKES FNP” Practice Location

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