Provider Demographics
NPI:1851713267
Name:KIGWEBA, LAURA DENNING (PA)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:DENNING
Last Name:KIGWEBA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:KATHERINE
Other - Last Name:DENNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5651 FRIST BLVD
Mailing Address - Street 2:SUITE 616
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2054
Mailing Address - Country:US
Mailing Address - Phone:615-391-4394
Mailing Address - Fax:615-391-0284
Practice Address - Street 1:5651 FRIST BLVD
Practice Address - Street 2:SUITE 616
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2054
Practice Address - Country:US
Practice Address - Phone:615-391-4394
Practice Address - Fax:615-391-0284
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant