NPI
Kimberly Ann Bonvillian
NPI 1871350702
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2024-03-06
- Last updated
- 2024-09-04
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Specialties
Licenses
- License LA
- 343191
Location
- Practice location
- 2750 Gause Blvd E
- City
- Slidell LA
- Postal code
- 70461-4149
- Phone
- (985) 639-3777
- Fax
- (985) 639-3725
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physician Assistants in Slidell, LA. 22 with this primary taxonomy in the public file.
Other NPIs in Slidell, LA. 2,618 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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