# BONNERS PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770392425
- **Authorized official:** KIRK LEE BONNER MD (OWNER)
- **Authorized official phone:** (504) 347-1333

## Contact information

- **Practice address:** 2820 NAPOLEON AVE STE 990, NEW ORLEANS, LA 70115-8201
- **Practice address phone:** (504) 347-1333
- **Practice address fax:** (504) 347-4755
- **Mailing address:** 2820 NAPOLEON AVE STE 990, NEW ORLEANS, LA 70115-8201
- **Mailing address phone:** (504) 383-9963
- **Mailing address fax:** (504) 383-9963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 05/05/2025