Individual
KIRK LEE BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4710 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6027
(504) 454-9020
(504) 454-9031
Mailing address
4710 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6027
(504) 454-9020
(504) 454-9031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.024116
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1572241
—
LA
Enumeration date
04/28/2006
Last updated
07/18/2025
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