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1578241980
KEIFFER ELLIS SMITH
GRETNA, LA
NPI
1578241980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 205547)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
KEIFFER ELLIS SMITH FNP
148 WALL BLVD
GRETNA, LA 70056-7107
Phone number: 504-393-2273
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Mailing Address
KEIFFER ELLIS SMITH FNP
112 SUMMER CYPRESS LN
BELLE CHASSE, LA 70037-1691
Phone number: 504-251-8417
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