Individual
KIMBERLY NICOLE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15813 PAUL VEGA MD DR STE 201, HAMMOND, LA 70403-1431
(985) 230-7650
(985) 230-7655
Mailing address
15748 MEDICAL ARTS PALZA, HAMMOND, LA 70403-2865
(985) 542-0663
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
306583
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2012
Last updated
08/21/2025
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