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Keyan Fahimipour
Student in an Organized Health Care Education/Training Program in Kenner, Louisiana
NPI 1376173880

Keyan Fahimipour is a Student in an Organized Health Care Education/Training Program based in Kenner, LA. Keyan Fahimipour practices in Kenner, LA. The NPI Number for Keyan Fahimipour is 1376173880 and holds a License No. S12829 (Louisiana).

The current practice location address for Keyan Fahimipour is 5601 David Dr, Kenner, LA and can be reached out via phone at 504-231-0470. You can also correspond with Keyan Fahimipour through the mailing address at 5601 DAVID DR, KENNER, LA - 70065-1531 (mailing address contact number: ).

Location: 5601 David Dr, Kenner, LA, 70065-1531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376173880
Provider Name
Keyan Fahimipour
Credential
Provider Entity Type
Individual
Gender
Male
Address
5601 David Dr, Kenner, LA, 70065-1531
Phone Number
504-231-0470
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5601 David Dr
City
Kenner
State
Louisiana
Zip
70065-1531
Phone Number
504-231-0470
Fax Number
person
Provider Business Mailing Address Details
Address
5601 David Dr
City
Kenner
State
Louisiana
Zip
70065-1531
Phone Number
504-231-0470
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12829 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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