| Doctor Name: | KIMBERLY J BONTS |
| NPI Number: | 1003116682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN |
| License Number: | AP06258 |
| Business Practice Address: | 2520 Bert Kouns Loop Suite 215 Shreveport, LA - 711183130 |
| Business Phone Number: | 3182125970 |
| Business Fax Number: | 3182125975 |
| Mailing Address: | 1202 Louisiana Ave, SHREVEPORT |
| State: | LA |
| Postal Code: | 711013910 |
| Phone Number: | 3182128546 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2010 |
| NPI Last Update Date: | 10/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0005X |
| License Number: | AP06258 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal, Critical Care |
| Taxonomy Definition: | |