Provider Demographics
NPI:1902376429
Name:CORDIER, KIM
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:CORDIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 N RAMPART ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-3503
Mailing Address - Country:US
Mailing Address - Phone:504-658-2540
Mailing Address - Fax:
Practice Address - Street 1:517 N RAMPART ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-3503
Practice Address - Country:US
Practice Address - Phone:504-658-2540
Practice Address - Fax:504-599-1057
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN127417163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse