Individual
MRS. KIMBERLY THORGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 DAVID DR., MORGAN CITY, LA 70380-1300
(985) 384-2430
Mailing address
1055 DAVID DRIVE, MORGAN CITY, LA 70380-1300
(985) 384-2430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
025530
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576778
—
LA
Enumeration date
09/26/2005
Last updated
08/03/2010
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