Ivester, Kelly J
Ivester, Kelly J is an individual health care provider with primary practice located at 1415 Tulane Ave Hc 71, New Orleans LA 70112-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ivester, Kelly J can be contacted via phone (504) 988-5800.Contact Information
Primary practice address
1415 Tulane Ave Hc 71
New Orleans LA 70112-2600
Phone: (504) 988-5800
Fax: (504) 988-7616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 200101 | Louisiana |
Profile Details
| NPI number | 1740263052 |
|---|---|
| LBN Legal business name | Ivester, Kelly J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Aug 14th, 2007 - about 17 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 | 1740263052 | NPPES |
| Louisiana | MEDICAID | 1628085 |
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