Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY J MARCOUX, P.A.-C
ActiveMedical Physician Assistant · FORT POLK, LA
Registration Details
- NPI Number
- 1477687952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2007 (19.103889840448 yrs)
- Last Updated
- Oct 22, 2021
- License
-
50-00-1252 (OH)
Practice Information
- Address
-
BAYNE-JONES ARMY COMMUNITY HOSPITAL1585 THIRD STFORT POLK, LA, 71459Browse LA providers · Browse ZIP 71459
- Phone
- 3375310297
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FORT POLK, LA
| Name | Credential | NPI |
|---|---|---|
| MR. DENNIS MICHAEL SOSENKO | PA-C | 1992765101 |
| NIKKI MICSHAWN LEWIS | PA | 1730241167 |
| MICHAEL DAVIDSON | PA-C | 1255480018 |
| MRS. ANTQUALENE LAVETTE JOHNSON | PA-C | 1720346943 |
| JEFFREY D OLFERT | PA-C | 1700657855 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.