Individual
DR. KEVIN JOSEPH COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6619 AIRLINE DR, SUITE B, METAIRIE, LA 70003-5169
(504) 733-0484
(504) 733-0326
Mailing address
6619 AIRLINE DR, SUITE B, METAIRIE, LA 70003-5169
(504) 733-0484
(504) 733-0326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA4264
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1842648
—
LA
Enumeration date
04/06/2007
Last updated
07/08/2007
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