Provider Demographics
NPI:1356346225
Name:KILMER, RENEE LOIS (DO)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:LOIS
Last Name:KILMER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4641 FAIRFIELD ST STE F
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2763
Mailing Address - Country:US
Mailing Address - Phone:310-738-0697
Mailing Address - Fax:504-988-7251
Practice Address - Street 1:4641 FAIRFIELD ST STE F
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2763
Practice Address - Country:US
Practice Address - Phone:310-738-0697
Practice Address - Fax:504-988-7250
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8455207QA0401X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine