Individual
ALICIA CASTLEBERRY KOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9001 SUMMA AVENUE, BATON ROUGE, LA 70809-3726
(225) 761-5404
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.203091
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00191
—
LA
05
—
07533817
—
MS
05
—
1000191
—
LA
Enumeration date
05/25/2007
Last updated
09/02/2010
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