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General NPI Number Information
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NPI Number | 1609359165
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Entity Type | Individual
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Provider Name | KENISHA VONCILLE THOMAS NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 5825 MAGAZINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-3218
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Country | US
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Telephone | 504-583-3230
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Fax | 763-402-7649
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Provider Business Mailing Address
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Address Line | 2117 VETERANS MEMORIAL BLVD # 201
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City | METAIRIE
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State | LA
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Zip | 70002-6321
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Country | US
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Telephone | 504-610-5194
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95009368
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704439077
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 816281
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 816281
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 95009368
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 816281
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License Number State | NV
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP215783
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License Number State | LA
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Taxonomy #8
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 816281
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License Number State | NV
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 215783
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License Number State | LA
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95009368
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 816281
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License Number State | NV
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