KENNER PHYSICIAN ASSOCIATES LLC NPI 1295887149

NPI Information

  • NPI: 1295887149
  • Provider Name: KENNER PHYSICIAN ASSOCIATES, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 19D0987635
  • Address: 200 W ESPLANADE AVE
    SUITE 106
    KENNER, LA
    ZIP 70065
  • Phone: (504) 712-7000

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NPI Details

KENNER PHYSICIAN ASSOCIATES, LLC is a pediatrics in Kenner, LA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KENNER PHYSICIAN ASSOCIATES, LLC NPI is 1295887149. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 W ESPLANADE AVE
SUITE 106
KENNER, LA
ZIP 70065-489
Phone: (504) 712-7000
Fax: (504) 712-7040

The provider's authorized official is Scott Brandon Simeon .
The authorized official title is Member and has the following contact phone number (504) 712-7000.

The CLIA number assigned to this NPI record is 19D0987635 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/18/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine023871LOUISIANANo
2208000000XPediatrics023871LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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