Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 026417 | LA |
NPI | 1417147026 |
---|---|
Provider Name | Dr. Kelly Lynn Babineaux |
First Address | Metairie, LA 70006-3000 |
Second Address | Metairie, LA 70006-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 04/10/2010 |