Chastant-Poche, Kimberly Ann

Chastant-Poche, Kimberly Ann is an individual health care provider with primary practice located at 4200 Houma Blvd , Metairie LA 70006-2970. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Chastant-Poche, Kimberly Ann can be contacted via phone (504) 503-6792.

Contact Information

Primary practice address
4200 Houma Blvd Metairie LA 70006-2970
Phone: (504) 503-6792
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.200047RX Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.200047RX Louisiana

Profile Details

NPI number 1679632673
LBN Legal business name Chastant-Poche, Kimberly Ann
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679632673 NPPES
Mississippi MEDICAID 01227833
Mississippi MEDICAID 1001759

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