Kimberly Bordelon

NPI 1013368794 · on the registry since 2016

Practice

Address: 180 N 5th St
Ponchatoula, LA 70454
Phone: (985) 370-7546
Organisation at this address: Bensons Dermatology & Skin Cancer
Integrated Dermatology Of Ponchatoula, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana