| Jkl Healthcare Services Llc | |
|
520 N Lewis St Suite 100 New Iberia LA 70563-2094 | |
| (337) 367-8220 | |
| (337) 367-8108 |
| Full Name | Jkl Healthcare Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 N Lewis St, New Iberia, Louisiana |
| Authorized Official Name and Position | Kimberly Smith (PHYSICIAN) |
| Authorized Official Contact | 3373678220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jkl Healthcare Services Llc 520 N Lewis St Suite 100 New Iberia LA 70563-2094 Ph: (337) 367-8220 | Jkl Healthcare Services Llc 520 N Lewis St Suite 100 New Iberia LA 70563-2094 Ph: (337) 367-8220 |
| NPI Number | 1063628055 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 06/17/2013 |
| Medicare PECOS PAC ID | 2264483601 |
|---|---|
| Medicare Enrollment ID | O20050203000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063628055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 024930 (Louisiana) | Primary |
| Provider Name | Kimberly R Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073500344 PECOS PAC ID: 9830096544 Enrollment ID: I20031218000845 |
| Provider Name | Christine D Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134442692 PECOS PAC ID: 9638206345 Enrollment ID: I20100428000432 |
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