Poussard, Kimberly F

Poussard, Kimberly F is an individual health care provider with primary practice located at 1202 S Tyler St , Covington LA 70433-2330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Poussard, Kimberly F can be contacted via phone (985) 898-4438.

Contact Information

Primary practice address
1202 S Tyler St Covington LA 70433-2330
Phone: (985) 898-4438
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 203372 Louisiana

Profile Details

NPI number 1306300264
LBN Legal business name Poussard, Kimberly F
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2019
Last updated Oct 12th, 2019 - about 7 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 1306300264 NPPES
Louisiana MEDICAID 1225148737
Louisiana MEDICAID 1104144344

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