Individual
KERRI BARDELL SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UMC PATHOLOGY, 2390 W CONGRESS ST, LAFAYETTE, LA 70506
(337) 261-6212
Mailing address
1340 POYDRAS ST, NEW ORLEANS, LA 70112-1221
(504) 412-1860
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
09917R
LA
207ZP0101X
Anatomic Pathology Physician
Primary
MD.09917R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1481599
—
LA
Enumeration date
07/25/2006
Last updated
02/10/2017
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