Provider Demographics
NPI:1285300244
Name:BATTLE, KEARSTON MARIE
Entity type:Individual
Prefix:
First Name:KEARSTON
Middle Name:MARIE
Last Name:BATTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 PELITERE DR
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-5243
Mailing Address - Country:US
Mailing Address - Phone:504-270-9026
Mailing Address - Fax:
Practice Address - Street 1:2013 PELITERE DR
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-5243
Practice Address - Country:US
Practice Address - Phone:504-270-9026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA007878747