Bonner, Kirk Lee
Bonner, Kirk Lee is an sole proprietor health care provider with primary practice located at 4710 S Carrollton Ave , New Orleans LA 70119-6027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bonner, Kirk Lee can be contacted via phone (504) 454-9020.Contact Information
Primary practice address
4710 S Carrollton Ave
New Orleans LA 70119-6027
Phone: (504) 454-9020
Fax: (504) 454-9031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD.024116 | Louisiana |
Profile Details
| NPI number | 1649237090 |
|---|---|
| LBN Legal business name | Bonner, Kirk Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jul 18th, 2025 - about last year |
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 | 1649237090 | NPPES |
| Louisiana | MEDICAID | 1572241 |
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