KSR MEDICAL LLC is a medical specialty clinic center in Leesville, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). KSR MEDICAL LLC NPI is 1346493269. The provider is registered as an organization entity type.
The provider's business location address is:
1015 W FERTITTA BLVD
LEESVILLE, LA
ZIP 71446-646
Phone: (337) 239-4130
Fax: (337) 238-9030
The provider's authorized official is Khaled Mostafa Ghorab .
The authorized official title is Owner and has the following contact phone number (337) 239-4130.
The enumeration date for this NPI number is 10/23/2008 and was last updated on 10/23/2008.