Spikes Bickham, Kela

Spikes Bickham, Kela is an sole proprietor health care provider with primary practice located at 112 Innwood Dr Ste H , Covington LA 70433-9134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Spikes Bickham, Kela can be contacted via phone (985) 893-0693.

Contact Information

Primary practice address
112 Innwood Dr Ste H Covington LA 70433-9134
Fax: (337) 643-8407
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP08162 Louisiana

Profile Details

NPI number 1578953139
LBN Legal business name Spikes Bickham, Kela
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2015
Last updated Nov 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578953139 NPPES
Louisiana Other AP08162 LICENSE NUMBER
Louisiana MEDICAID 2402056 LICENSE NUMBER

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