J.K.S. PEDIATRICS, LLC
Medical Practice at Keyser Ave, Natchitoches, LA

License number
Louisiana 201180
Category
Medical Practice
Type
Pediatrics
Owner
Name: JORGE W BLACK MD
Title: OWNER
Phone: (318) 238-5040
Address
Address
740 Keyser Ave SUITE A-3, Natchitoches, LA 71457
National Provider ID: 1528133055
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about J.K.S. PEDIATRICS, LLC at bizstanding.com

J.K.S. PEDIATRICS, LLC

Natchitoches, LA

Status:
Inactive
Registration:
Sep 13, 2006
Addresses:
617 Bienville St, Natchitoches, LA 71457 (Physical)
C/O Dr Jorge Washington Black, Natchitoches, LA 71457 (Mailing)
State ID:
36269610K
Business type:
Limited Liability Company
Manager, Member:
Dr. Jorge Washington Black (Manager, Member), 617 Bienville St, Natchitoches, LA 71457 (Physical)

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