KREWE OF KIDS LLC NPI 1659886935

NPI Information

NPI: 1659886935
Provider Name: KREWE OF KIDS, LLC

Doing Business As: KREWE OF KIDS PEDIATRICS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6600 FRANKLIN AVE STE A2
NEW ORLEANS, LA
ZIP 70122
Phone: (504) 322-2185
Get Directions

KREWE OF KIDS, LLC is a primary care clinic center in New Orleans, LA. KREWE OF KIDS, LLC NPI is 1659886935. The provider is registered as an organization entity type.
The provider Is Doing Business As Krewe Of Kids Pediatrics.

The provider's business location address is:

6600 FRANKLIN AVE STE A2
NEW ORLEANS, LA
ZIP 70122-716
Phone: (504) 322-2185
Fax: (504) 322-2695

The provider's authorized official is Veronica Garibaldi Lewis .
The authorized official title is Owner/medical Director and has the following contact phone number (504) 606-2098.

The CLIA number assigned to this NPI record is 19D2145020 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2017 and was last updated on 12/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1508268	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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