Kassidy B Wall, FNP is a family nurse practitioner in Covington, LA with 7 years of experience. Kassidy B Wall, FNP NPI is 1154845147. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1970 N HIGHWAY 190
COVINGTON, LA
ZIP 70433-364
Phone: (985) 400-5988
Fax: (985) 867-3644
The NPI 1154845147 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/1/2017 and was last updated on 1/31/2024.