Healthcare Provider Details

I. General information

NPI: 1790609105
Provider Name (Legal Business Name): MICHELLE KENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3052 N MIRO ST
NEW ORLEANS LA
70117-6831
US

IV. Provider business mailing address

PO BOX 1443
METAIRIE LA
70004-1443
US

V. Phone/Fax

Practice location:
  • Phone: 504-657-3135
  • Fax:
Mailing address:
  • Phone: 504-657-3135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: