Kelly Bernard
Individual provider Active NPI Physical Therapist · Harahan, LA
NPI 1437420171 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1437420171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 06676 (LA)
- Practice address
- 5606 Jefferson Hwy
Harahan, LA 70123-5111 - Phone
- (504) 733-0254
- NPI assigned
- Jan 25, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06676 | LA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06676 | LA | Yes |
Addresses
Primary practice location
5606 Jefferson Hwy
Harahan, LA 70123-5111
Mailing address
5606 Jefferson Hwy
Harahan, LA 70123-5111
Phone (504) 733-0254
Other providers in Harahan, LA
- Terri Balser
- Jeana Balukonis
- Maile Denae Barber
- Mithra Bell
- Michele Beloney
- Alexandra Bernstein
- Blarpo LLC
- Colleen Boudreaux
- John Michael Bradley
- Caroline Monsted Brady
All providers in Harahan, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.