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Keona Isaac — NPI 1609647726, Tallulah, LA | NPI Central

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Keona Isaac

NPI 1609647726 · Prosthetic/Orthotic Supplier · Tallulah, LA

Provider details

NPI number: 1609647726
Entity type: Individual
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Sex: Female
Sole proprietor: Yes
License: 1334671108 (LA)

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000XLicense 1334671108 (LA)
Suppliers

Practice location

120 Kimbrough Blvd

Tallulah, LA 71282-4307

Phone: (318) 341-6785

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

120 Kimbrough Blvd

Tallulah, LA 71282-4307

Registry dates

Enumerated: 2024-01-09
Last updated: 2024-01-09
Certified: 2024-01-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.