Organization
HAMMOND CARDIOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA Z KELLY CPMM (ADMINISTRATOR)
(985) 542-5972
Entity
Organization
Contact information
Practice address
16070 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 542-5972
(985) 318-3417
Mailing address
16070 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 542-5972
(985) 318-3417
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0000X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798517
—
LA
01
—
29134
BLUE CROSS CLINIC NUMBER
LA
01
—
CP2624
RAILROAD MEDICARE
LA
Enumeration date
08/18/2006
Last updated
08/22/2020
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