Kimberly Brown
Individual provider Active NPI Other Specialist/Technologist · Luling, LA
NPI 1447759337 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1447759337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Specialist/Technologist 246Z00000X
- License
- 1160080314 (LA)
- Practice address
- 13755 River Road
Luling, LA 70070 - Phone
- (504) 408-0757
- Fax
- (504) 408-0757
- NPI assigned
- Feb 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1160080314 | LA | MD | Other Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity and Company, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Technician | 247000000X | |||
| Other Specialist/Technologist | 246Z00000X | 1160080314 | LA | Yes |
Addresses
Primary practice location
13755 River Road
Luling, LA 70070
Mailing address
10833 River Road #51
Ama, LA 70031-5002
Phone (504) 563-0021
Other practice location 1
13755 River Road D
Luling, LA 70070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-1158929 | Other | IRS |
Other providers in Luling, LA
- Brien Chiropractic Clinic, Inc.
- Mitchell Paul Brien
- Tyra Brimmer-Traveler
- Carrey Weeks Britsch
- Robert Ellis Brouillette
- Allie Buckwalter
- Jennifer Matthews Burns
- C & B Transit, LLC
- C&M Medical Services-St Charles LLC
- Cynthia L Caldwell
All providers in Luling, LA · Other Specialist/Technologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. 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.