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Contact Information

KIMBERLY A ABBOTT, NP
17609 OLD JEFFERSON HWY STE D
PRAIRIEVILLE, LA70769-3980
 Phone: 225-765-5500
 Fax: 225-677-9695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY A ABBOTT · (Female)

NPI # 1740203041
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/26/2006
Last updated 12/28/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # RN089741 AP1480
  • LA Medicaid 1583294
Hospital affiliation(s)
  • OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER - (Acute Care)
    5000 HENNESSY BLVD
    BATON ROUGE, LA 70808
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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