Wild, Kathryn G
Wild, Kathryn G is an individual health care provider with primary practice located at 4315 Houma Blvd Suite 500, Metairie LA 70006-2940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wild, Kathryn G can be contacted via phone (504) 885-8563.Contact Information
Primary practice address
4315 Houma Blvd Suite 500
Metairie LA 70006-2940
Phone: (504) 885-8563
Fax: (504) 455-1072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 022400 | Louisiana |
Profile Details
| NPI number | 1750341939 |
|---|---|
| LBN Legal business name | Wild, Kathryn G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jul 8th, 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 | 1750341939 | NPPES |
| Louisiana | MEDICAID | 1493414 |
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