| Doctor Name: | KIM S GUIDRY |
| NPI Number: | 1851654693 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN039464 |
| Business Practice Address: | 133 W 112th St Cut Off, LA - 703453629 |
| Business Phone Number: | 9856325567 |
| Business Fax Number: | 9856325573 |
| Mailing Address: | 141 W 205th St, GALLIANO |
| State: | LA |
| Postal Code: | 703543925 |
| Phone Number: | 9854757948 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2012 |
| NPI Last Update Date: | 06/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN039464 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |