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NPI Code Detail

MEDICARE: KRISHNA EDLENE LOUIS

MEDICARE: KRISHNA EDLENE LOUIS
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
1363A00000XPhysician Assistant
2363A00000XPhysician Assistant13659GA

General Provider Information

NPI Number : 1699523456
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHNA EDLENE LOUIS
Provider Business Mailing Address
First Line : 3 BILTWELL PL
Second Line :
City : PALM COAST
State : FL
Zip : 32137-9340
Country : US
Telephone Number : 786-426-2091
Fax Number :
Provider Business Practice Location Address
First Line : 720 WESTVIEW DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-756-1959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2024
Last Update Date : 06/04/2026

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Directions to “ KRISHNA EDLENE LOUIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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