Meadows, Mary Kathleen

Meadows, Mary Kathleen is an individual health care provider with primary practice located at 8300 Constantin Blvd , Baton Rouge LA 70809-3489. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Meadows, Mary Kathleen can be contacted via phone (225) 765-8853.

Contact Information

Primary practice address
8300 Constantin Blvd Baton Rouge LA 70809-3489
Phone: (225) 765-8853
Fax: (225) 765-1700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15595R Louisiana

Profile Details

NPI number 1629044391
LBN Legal business name Meadows, Mary Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Feb 11th, 2021 - about 4 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 1629044391 NPPES
Louisiana MEDICAID 1070467

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