Individual
KILSY ISABEL PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3616 S I 10 SERVICE RD W, METAIRIE, LA 70001-1874
(504) 838-5348
Mailing address
256 GEORGETOWN DR, KENNER, LA 70065-4050
(504) 496-2470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128928
LA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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