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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY ANN BONVILLIAN, PA-C

Active

KIMBERLY ANN BONVILLIAN, PA-C is a Physician Assistant healthcare provider located in SLIDELL, Louisiana. NPI 1871350702 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SLIDELL, LA

Registration Details

NPI Number
1871350702
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2024 (2.4483460012282 yrs)
Last Updated
Sep 4, 2024
License
343191 (LA)

Practice Information

Address
2750 GAUSE BLVD E
SLIDELL, LA, 704614149
Browse LA providers · Browse ZIP 70461
Phone
9856393777
Fax
9856393725
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SLIDELL, LA

Name Credential NPI
MR. MARK D. CALLENDER P.A. 1942406616
MATTHEW G. GABLER P.A. 1700075389
KIRSTEN GUY PA-C 1649414897
MATTHEW JOSEPH BASSETT PA-C 1679909873
MAUREEN ODONNELL MCGAURN PA-C 1629437660
PAIGE MARLER 1306291455
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.