Individual
KINZI IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1717 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-5223
(504) 576-0966
Mailing address
1717 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-5223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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