Doctor Name: | KIMBERLY PACE |
NPI Number: | 1003279225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 8814 Veterans Memorial Blvd Ste 3-296 Metairie, LA - 700035264 |
Business Phone Number: | 5042015074 |
Business Fax Number: | |
Mailing Address: | 8814 Veterans Memorial Blvd Ste 3-296, METAIRIE |
State: | LA |
Postal Code: | 700035264 |
Phone Number: | 5042015074 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2016 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |