NPI | 1104579630 |
---|---|
Doing Business As | KENNER CHC |
Entity Type | Organization |
Authorized Contact | MARK F KEISER CEO 504-575-3712 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |