Provider Demographics
NPI:1982610374
Name:SCHEXNAIDER, KERRY M (MD)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:M
Last Name:SCHEXNAIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4210 U S HIGHWAY 167
Mailing Address - Street 2:
Mailing Address - City:MAURICE
Mailing Address - State:LA
Mailing Address - Zip Code:70555-3706
Mailing Address - Country:US
Mailing Address - Phone:337-893-8490
Mailing Address - Fax:337-893-4090
Practice Address - Street 1:4210 U S HIGHWAY 167
Practice Address - Street 2:
Practice Address - City:MAURICE
Practice Address - State:LA
Practice Address - Zip Code:70555-3706
Practice Address - Country:US
Practice Address - Phone:337-893-8490
Practice Address - Fax:337-893-4090
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LALA200858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1066206Medicaid
I59051Medicare UPIN
LA4K219CU99Medicare PIN