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Contact Information

KIMBERLY A CHASTANT POCHE, MPAS, PA-C
4200 HOUMA BLVD
METAIRIE, LA70006-2970
 Phone: 504-503-6792
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIMBERLY A CHASTANT POCHE · (Female)

NPI # 1679632673
Status Active
Credentials MPAS, PA-C
Entity Individual
Enumeration date 12/06/2006
Last updated 07/08/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • LA License # PA.200047RX
  • LA Medicaid 1001759
  • MS Medicaid 01227833
Hospital affiliation(s)
  • EAST JEFFERSON GENERAL HOSPITAL - (Acute Care)
    4200 HOUMA BLVD
    METAIRIE, LA 70006
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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