Individual
MISS KALEY BENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 464-8506
Mailing address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
338323
LA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/13/2023
Last updated
10/02/2023
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