Individual
JOANNA KUKUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4300 HOUMA BLVD, SUITE 301, METAIRIE, LA 70006-2932
(504) 455-3500
(504) 455-3006
Mailing address
4300 HOUMA BLVD, SUITE 301, METAIRIE, LA 70006-2932
(504) 455-3500
(504) 455-3006
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A10461
LA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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