Individual
MRS. KIMBERLY K KUBRICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, NP
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 280-2200
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP95007196
CA
363L00000X
Nurse Practitioner
RN123975
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
211667
LA
367500000X
Certified Registered Nurse Anesthetist
NA95000640
CA
367500000X
Certified Registered Nurse Anesthetist
RN123975
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA95000640
—
CA
01
—
NP95007196
MEDICARE
CA
05
—
NP95007196
—
CA
Enumeration date
08/09/2006
Last updated
03/01/2023
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