Individual
KAYLIE ALYSSA BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 899-9511
Mailing address
1823 PRYTANIA ST APT 103, NEW ORLEANS, LA 70130-5238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
348204
LA
Other
Enumeration date
04/15/2025
Last updated
08/11/2025
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