Individual
KATHRYN OLIVIA ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 494-4900
(337) 494-4936
Mailing address
P O BOX 122165, DEPT 2165, DALLAS, TX 75312-2165
(337) 494-2948
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
307370
LA
Other
Enumeration date
11/16/2017
Last updated
12/27/2017
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