Cordell, Kitrina G
Cordell, Kitrina G is an individual health care provider with primary practice located at 1100 Florida Ave , New Orleans LA 70119-2714. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Pathology is her primary health care specialty. Cordell, Kitrina G can be contacted via phone (504) 941-8449.Contact Information
Primary practice address
1100 Florida Ave
New Orleans LA 70119-2714
Phone: (504) 941-8449
Fax: (504) 941-8336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901018465 | Michigan |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 2901018465 | Michigan |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | P-123 | Louisiana |
| Dental Providers / Dentist | 122300000X | P-123 | Louisiana |
Profile Details
| NPI number | 1558494559 |
|---|---|
| LBN Legal business name | Cordell, Kitrina G |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 23rd, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558494559 | NPPES |
| Michigan | Other | 1958112200 | BCBS OF MI MED SURGICAL |
| Michigan | Other | D184650 | BCBS OF MI MED SURGICAL |
| Michigan | MEDICAID | 4874070 | BCBS OF MI MED SURGICAL |
| Michigan | MEDICAID | 4500641 | BCBS OF MI MED SURGICAL |
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