Individual
MRS. KIM M SERVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, M.S.
Contact information
Practice address
1542 TULANE AVE, NEW ORLEANS, LA 70112-2865
(877) 271-4597
Mailing address
1542 TULANE AVE, NEW ORLEANS, LA 70112-2865
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN047451
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1670812
—
LA
01
—
RN047451
STATE LICENSE
LA
Enumeration date
05/09/2007
Last updated
07/30/2007
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