Abbott, Kimberly Ann

Abbott, Kimberly Ann is an individual health care provider with primary practice located at 17609 Old Jefferson Hwy Ste D , Prairieville LA 70769-3980. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Abbott, Kimberly Ann can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
17609 Old Jefferson Hwy Ste D Prairieville LA 70769-3980
Fax: (225) 677-9695
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN089741 AP1480 Louisiana

Profile Details

NPI number 1740203041
LBN Legal business name Abbott, Kimberly Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Dec 28th, 2020 - about 4 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 1740203041 NPPES
Louisiana MEDICAID 1583294

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