| Kenner Community Health Center | |
|
1401 W Esplanade Ave Ste 108-a Kenner LA 70065-2845 | |
| (985) 307-1600 | |
| (504) 575-3691 |
| Full Name | Kenner Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 W Esplanade Ave, Kenner, Louisiana |
| Authorized Official Name and Position | Mark Keiser (PRESIDENT) |
| Authorized Official Contact | 5045753700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenner Community Health Center 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 057-5370 | Kenner Community Health Center 1401 W Esplanade Ave Ste 108-a Kenner LA 70065-2845 Ph: (985) 307-1600 |
| NPI Number | 1801241773 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 09/13/2016 |
| Medicare PECOS PAC ID | 3678484276 |
|---|---|
| Medicare Enrollment ID | O20160711000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801241773 | NPI | - | NPPES |
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