Most Relevant Information
Provider Data
| NPI Number: | 1003065731 |
| Provider Name: | KIMBERLY NOELLE MATTHEWS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN148719 |
Most Important Dates
| Enumeration Date: | 09/18/2008 |
| Last Updated: | 11/29/2017 |
Provider Practice Location
820 W ESPLANADE AVE
KENNER
LA
700652757
Practice Location Phone/Fax
| Phone: | 5044678313 |
| Fax: |
Provider Mailing Location
8236 PANOLA ST
NEW ORLEANS
LA
701182927
Provider Mailing Phone/Fax
| Phone: | 8034438185 |
| Fax: |