Individual
KIM SANFORD BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3755
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.203917
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09306824
—
MS
05
—
1952273
—
LA
Enumeration date
03/20/2009
Last updated
11/06/2013
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