Provider Demographics
NPI:1437156452
Name:PAAPE, KERRY LYNN (MD)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:LYNN
Last Name:PAAPE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:1341 OCHSNER BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8172
Practice Address - Country:US
Practice Address - Phone:985-875-2828
Practice Address - Fax:985-875-2728
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY41986208G00000X
FLME125640208G00000X
LAMD.11141R208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100046650Medicaid
KYP00616386Medicare PIN
GA65860OtherSTATE LICENSE
KY7100046650Medicaid
KY0151032Medicare PIN
KY00280068Medicare PIN
LA060049428OtherRR MEDICARE
LA1656551Medicaid
LA5W045Medicare PIN