DR. KENEITRA ROUSSELL, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1770748097
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | No | PA200279 (LA) |
| Physician Assistant - Medical | 363AM0700X | Yes | - |
Frequently Asked Questions
NPI 1770748097 is the National Provider Identifier for DR. KENEITRA ROUSSELL, PA-C, a Physician Assistant - Medical provider located in Reserve, LA. This NPI was enumerated on July 25, 2008.
DR. KENEITRA ROUSSELL, PA-C practices at 3584 W AIRLINE HWY, Reserve, LA 70084.
Quick Facts
- NPI
- 1770748097
- Type
- Individual
- Enumerated
- Jul 25, 2008
- Last Updated
- May 21, 2025
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