KEVIN BANKSON

MARRERO, LA
NPI1326824020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  207227)
Enumeration Date2023-09-07
Last Update Date2023-09-22
Business Address
KEVIN BANKSON
1111 MEDICAL CENTER BLVD STE S850
MARRERO, LA 70072-3173
Phone number: 504-349-6450
Mailing Address
KEVIN BANKSON
125 W 40TH PL
CUT OFF, LA 70345-3078
Phone number:
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