Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 223555 | MA |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD025057 | LA |
N | 207YP0228X | Pediatric Otolaryngology | 025057 | LA |
NPI | 1851364566 |
---|---|
Provider Name | Kimsey Hope Rodriguez |
First Address | New Orleans, LA 70121 |
Second Address | New Orleans, LA 70121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2006 |
Last Update Date | 19/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2108101 | (05) | MA |