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Contact Information

KEITH M POCHE, PHYSICIAN ASSISTANT
1750 MARTIN LUTHER KING BLVD.,
SUITE 107
HOUMA, LA70360
 Phone: 985-851-0118
 Fax: 985-851-0116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KEITH M POCHE · (Male)

NPI Number 1073626719
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 08/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # A10444.RX
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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