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Contact Information

KAITLYN P BRISCOE, PA-C
500 S 6TH ST STE A
LEESVILLE, LA71446-4470
 Phone: 337-239-8000
 Fax: 337-239-8003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KAITLYN P BRISCOE · (Female)

NPI # 1801425087
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/08/2020
Last updated 04/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 322198
Hospital affiliation(s)
  • BEAUREGARD MEMORIAL HOSPITAL - (Acute Care)
    600 S PINE STREET
    DERIDDER, LA 70634
  • BYRD REGIONAL HOSPITAL - (Acute Care)
    1020 FERTITTA BLVD
    LEESVILLE, LA 71446
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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