COVINGTON EXPRESS MEDICAL SERVICES LLC NPI 1285905638

NPI Information

COVINGTON EXPRESS MEDICAL SERVICES, LLC is a family nurse practitioner in Covington, LA. COVINGTON EXPRESS MEDICAL SERVICES, LLC NPI is 1285905638. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kwik Clinic.

The provider's business location address is:

360 EMERALD FOREST BLVD
SUITE H
COVINGTON, LA
ZIP 70433-193
Phone: (985) 892-3360
Fax: (985) 892-3375

The provider's authorized official is Edwin John Miltenberger .
The authorized official title is Owner and has the following contact phone number (985) 222-2002.

The CLIA number assigned to this NPI record is 19D2028143 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2012 and was last updated on 1/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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