KELLY L PAULK, MD, Pain Medicine KENNER, LA

Contact Information

KELLY L PAULK, MD

200 W ESPLANADE AVE
KENNER, LA 70065-2489

Phone: 504-443-9500
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation
Interventional Pain Medicine	208VP0014X	09	Physician/Interventional Pain Management

Indicates primary specialty

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NPI Profile & details for KELLY L PAULK · (Male)

NPI Number	`1083034557`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	04/23/2014
Last updated	08/05/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	LA License # 308434
Hospital affiliation(s)	OCHSNER FOUNDATION HOSPITAL - (Acute Care) 1516 JEFFERSON HWY NEW ORLEANS, LA 70121 OCHSNER MEDICAL CENTER-KENNER LLC - (Acute Care) 180 WEST ESPLANADE AVENUE KENNER, LA 70065 OCHSNER ST ANNE GENERAL HOSPITAL - (Critical Access) 4608 HIGHWAY 1 RACELAND, LA 70394

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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