Individual
KAILA REBECCA NICOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(866) 624-7637
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(866) 624-7637
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
99043
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
06/01/2020
Last updated
06/13/2024
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