Individual
KIMBERLY NICOLE CORNAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1723 CRESWELL LN EXT, OPELOUSAS, LA 70570-7836
(337) 326-4569
Mailing address
600 JEFFERSON ST STE 600, LAFAYETTE, LA 70501-6987
(337) 356-9886
(337) 465-4604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
338342
LA
Other
Enumeration date
06/02/2023
Last updated
08/15/2023
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