Individual
KIM S GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
133 W 112TH ST, CUT OFF, LA 70345-3629
(985) 632-5567
(985) 632-5573
Mailing address
141 W 205TH ST, GALLIANO, LA 70354-3925
(985) 475-7948
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN039464
LA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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