Individual
MRS. KIMBERLY DENISE PAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2539 VIKING DR, SUITE 101, BOSSIER CITY, LA 71111
(318) 747-8100
(318) 747-8150
Mailing address
2539 VIKING DR STE 101, BOSSIER CITY, LA 71111-2165
(318) 747-8100
(318) 747-8150
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.744.EXAM
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.744.EXAM
LA LICENSE
LA
Enumeration date
10/06/2010
Last updated
10/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us