SearchLouisiana363AM0700X

Keneitra Roussell, PA-C

NPI 1770748097 · on the registry since 2008

Practice

Address
3584 W Airline Hwy
Reserve, LA 70084
Phone
(985) 200-3836

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
207R00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana