Katherine Broussard, PA-C

NPI #1043952591 in Jefferson, Louisiana

Provider Information

NPI Number: 1043952591
Entity Type: Individual
Name: Katherine Broussard, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 13, 2022
Last Updated: Dec 29, 2022

Practice Location

Address: 1514 JEFFERSON HWY
City: Jefferson
State: Louisiana
ZIP Code: 70121-2429
Phone: (504) 579-6504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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