Healthcare Provider Details

I. General information

NPI: 1396856449
Provider Name (Legal Business Name): OCHSNER MEDICAL CENTER-KENNER DIALYSIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 W ESPLANADE AVE
KENNER LA
70065-2467
US

IV. Provider business mailing address

180 W ESPLANADE AVE
KENNER LA
70065-2467
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-4000
  • Fax:
Mailing address:
  • Phone: 504-842-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2472R0900X
TaxonomyRenal Dialysis Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT J POSECAI
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 504-842-4000