OrganizationActive
Ksr Medical LLC
NPI 1346493269 · Medical Specialty Clinic/Center · Leesville, LA
Provider details
- NPI number
- 1346493269
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khaled Ghorab, Owner(337) 239-4130
- License
- 202557 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1015 W Fertitta Blvd
Leesville, LA 71446-4646
Phone: (337) 239-4130
Fax: (337) 238-9030
Approximate (ZIP-level) locationGet directions
Mailing address
1015 W Fertitta Blvd
Leesville, LA 71446-4646
Registry dates
- Enumerated
- 2008-10-23
- Last updated
- 2008-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.