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General NPI Number Information
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NPI Number | 1780633248
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Entity Type | Individual
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Provider Name | MICHAEL KIERNAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 4720 S. I-10 SERVICE RD. WEST STE 101
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City | METAIRIE
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State | LA
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Zip | 70001
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Country | US
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Telephone | 504-780-4436
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Fax | 504-780-4439
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Provider Business Mailing Address
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Address Line | 1430 TULANE AVE SL-37
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2632
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Country | US
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Telephone |
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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 | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | MD2014-0984
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 65827-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | MD.06458R
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License Number State | LA
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