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NPI Code Detail

MEDICARE: JEANINE KRAMER CASEY CERTIFIED FIRST ASSI

MEDICARE: JEANINE KRAMER CASEY CERTIFIED FIRST ASSI
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
1246ZC0007XSurgical AssistantCERTIFICATE#118887LA

General Provider Information

NPI Number : 1942517479
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANINE KRAMER CASEY CERTIFIED FIRST ASSI
Provider Business Mailing Address
First Line : 1419 SWEET BAY COURT
Second Line :
City : COVINGTON
State : LA
Zip : 70433
Country : US
Telephone Number : 504-460-0147
Fax Number : 985-875-0539
Provider Business Practice Location Address
First Line : 1419 SWEET BAY COURT
Second Line :
City : COVINGTON
State : LA
Zip : 70433
Country : US
Telephone Number : 504-460-0147
Fax Number : 985-875-0539
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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