Individual
NOREEN KILPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4447 WARE AVE, JEFFERSON, LA 70121-1326
(504) 756-8430
(504) 736-9731
Mailing address
4447 WARE AVE, JEFFERSON, LA 70121-1326
(504) 756-8430
(504) 736-9731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z11021
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z11021
LICENSURE
LA
Enumeration date
06/27/2014
Last updated
06/27/2014
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