Individual
KIM V GATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15837 PAUL VEGA MD DR, HAMMOND, LA 70403-1495
(985) 345-2700
Mailing address
1305 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227366
LA
Other
Enumeration date
05/01/2023
Last updated
04/04/2025
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