NPI
Kandice Birdsall
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MOT, LOTR
- Type
- Individual
- Enumeration date
- 2011-08-02
- Last updated
- 2011-08-02
Specialties
Licenses
- License LA
- OTT.200467
Location
- Practice location
- 104 W 134th St
- City
- Cut Off LA
- Postal code
- 70345-4155
- Phone
- (985) 632-7919
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Cut Off, LA. 100 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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