Individual
KELLY B. CORKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-5763
(985) 867-3644
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-5763
(985) 867-3644
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN111274
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00678509
—
MS
05
—
1793973
—
LA
Enumeration date
03/18/2009
Last updated
03/03/2011
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