Moody, Kristi Holland
Moody, Kristi Holland is an sole proprietor health care provider with primary practice located at 42124 Veterans Ave Ste A, Hammond LA 70403-1427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moody, Kristi Holland can be contacted via phone (985) 543-0565.Contact Information
Primary practice address
42124 Veterans Ave Ste A
Hammond LA 70403-1427
Phone: (985) 543-0565
Fax: (985) 543-0567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP04909 | Louisiana |
Profile Details
| NPI number | 1437268547 |
|---|---|
| LBN Legal business name | Moody, Kristi Holland |
| Credentials | APRN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jun 1st, 2011 - about 14 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 | 1437268547 | NPPES |
| Louisiana | MEDICAID | 1344397 |
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