Provider Demographics
NPI:1861668808
Name:HOLCOMB, KATHERINE ZIBILICH (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ZIBILICH
Last Name:HOLCOMB
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 1:145 ROBERT E LEE BLVD STE 302
Mailing Address - Street 2:NAVAL HOSPITAL
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2593
Mailing Address - Country:US
Mailing Address - Phone:504-288-2381
Mailing Address - Fax:504-288-1535
Practice Address - Street 1:145 ROBERT E LEE BLVD STE 302
Practice Address - Street 2:NAVAL HOSPITAL
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2593
Practice Address - Country:US
Practice Address - Phone:504-288-2381
Practice Address - Fax:504-288-1535
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01297207N00000X
LAMD.205281207NS0135X
LAMD205281207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1070084Medicaid