Basic Information
Provider Information
NPI: 1386153591
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINET
FirstName: KAYLEIGH
MiddleName: EPPLING
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6123 MAGAZINE ST
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701185825
CountryCode: US
TelephoneNumber: 5044602888
FaxNumber:  
Practice Location
Address1: 200 W ESPLANADE AVE
Address2:  
City: KENNER
State: LA
PostalCode: 700652489
CountryCode: US
TelephoneNumber: 5044648588
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2017
LastUpdateDate: 05/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XS0106X306975LAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
363A00000X306975LAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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