Individual
DR. KENDRA LASHAWN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16260 AIRLINE HIGHWAY, PRAIRIEVILLE, LA 70769
(225) 761-5211
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP1-0026312
TX
208000000X
Pediatrics Physician
Primary
MD.202902
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01630219
—
MS
05
—
1886114
—
LA
01
—
3851657285
MYUTMB 3851657285-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
11/18/2009
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