Individual
MS. KIMBERLY NICOLE ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5550 THOMAS RD, BATON ROUGE, LA 70811-7370
(225) 268-1544
Mailing address
PO BOX 1165, PORT ALLEN, LA 70767-1165
(225) 268-1544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6500
LA
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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