| Kenisha Thomas Np Llco | |
|
1 Galleria Blvd Ste 1900 Metairie LA 70001-7553 | |
| (504) 583-3230 | |
| (763) 402-7649 |
| Full Name | Kenisha Thomas Np Llco |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Galleria Blvd Ste 1900, Metairie, Louisiana |
| Authorized Official Name and Position | Kenisha Thomas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5046105194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenisha Thomas Np Llco 2764 N Green Valley Pkwy # 469 Henderson NV 89014-2120 Ph: () - | Kenisha Thomas Np Llco 1 Galleria Blvd Ste 1900 Metairie LA 70001-7553 Ph: (504) 583-3230 |
| NPI Number | 1598419863 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598419863 | NPI | - | NPPES |
| 1609359165 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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