Most Relevant Information
Provider Data
| NPI Number: | 1003279225 |
| Provider Name: | KIMBERLY PACE |
| Entity Type: | Individual |
| Taxonomy Code: | 171WH0202X |
| Specialty: | Contractor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2016 |
| Last Updated: | 10/21/2021 |
Provider Practice Location
1801 MANHATTAN BLVD STE J-263
HARVEY
LA
700587300
Practice Location Phone/Fax
| Phone: | 5042015074 |
| Fax: |
Provider Mailing Location
1801 MANHATTAN BLVD STE J-263
HARVEY
LA
700587300
Provider Mailing Phone/Fax
| Phone: | 5042015074 |
| Fax: |