Simoneaux, Kimberly

Simoneaux, Kimberly is an individual health care provider with primary practice located at 15695 Professional Plz , Hammond LA 70403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Simoneaux, Kimberly can be contacted via phone (985) 542-2599.

Contact Information

Primary practice address
15695 Professional Plz Hammond LA 70403
Phone: (985) 542-2599
Fax: (985) 345-0880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP04904 Louisiana

Profile Details

NPI number 1811930951
LBN Legal business name Simoneaux, Kimberly
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 7th, 2018 - about 8 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 1811930951 NPPES
Louisiana MEDICAID 1370908

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