NPI | 1801241773 |
---|---|
Doing Business As | KENNER COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MARK KEISER President 504-575-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11532) |
207Q00000X Family Medicine (Licence: LA MD023712) | |
Enumeration Date | 2016-04-28 |
Last Update Date | 2016-09-13 |