Individual
KATHERINE LOUISE GANDERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 S I 10 SERVICE RD W STE 120, METAIRIE, LA 70001-1214
(504) 988-5458
(504) 988-6808
Mailing address
4740 S I 10 SERVICE RD W STE 120, METAIRIE, LA 70001-1214
(504) 988-5458
(504) 988-6808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301507024
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
11/03/2023
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