Kerley-Mcguire, Nicole Lee

Kerley-Mcguire, Nicole Lee is an individual health care provider with primary practice located at 1014 W Tunnel Blvd , Houma LA 70360-4050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Kerley-Mcguire, Nicole Lee can be contacted via phone (985) 851-1717.

Contact Information

Primary practice address
1014 W Tunnel Blvd Houma LA 70360-4050
Phone: (985) 851-1717
Fax: (985) 851-7183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 024810 Louisiana

Profile Details

NPI number 1124011879
LBN Legal business name Kerley-Mcguire, Nicole Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jun 17th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124011879 NPPES
Louisiana MEDICAID 1575917

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