Provider Demographics
NPI:1346343621
Name:BRIEGER, KATHY ANN (LPN)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANN
Last Name:BRIEGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5712 SKYE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3939
Mailing Address - Country:US
Mailing Address - Phone:318-473-9154
Mailing Address - Fax:318-487-5703
Practice Address - Street 1:UNIT 6, MEADOW LANE
Practice Address - Street 2:RRTC CENTRAL STATE HOSPITAL
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71306
Practice Address - Country:US
Practice Address - Phone:318-484-6402
Practice Address - Fax:318-487-5703
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA771305164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse