Kieta, Micki S.

Kieta, Micki S. is an individual health care provider with primary practice located at 4212 W Congress St Suite 3200, Lafayette LA 70506-6765. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kieta, Micki S. can be contacted via phone (337) 981-3546.

Contact Information

Primary practice address
4212 W Congress St Suite 3200 Lafayette LA 70506-6765
Phone: (337) 981-3546
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP03115 Louisiana

Profile Details

NPI number 1417931791
LBN Legal business name Kieta, Micki S.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 16th, 2007 - about 17 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 1417931791 NPPES
Louisiana MEDICAID 1695441

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