Individual
KAYLA BURKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15813 PAUL VEGA MD DR STE 200, HAMMOND, LA 70403-1431
(985) 230-7650
(985) 230-7655
Mailing address
PO BOX 2668, BUSINESS CTR - INS CREDENTIALING, HAMMOND, LA 70404-4228
(985) 230-1682
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
330712
LA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/11/2018
Last updated
10/11/2024
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