Provider Demographics
NPI:1326882929
Name:KERTH, OLIVIA (PA-C)
Entity type:Individual
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First Name:OLIVIA
Middle Name:
Last Name:KERTH
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3900 VETERANS MEMORIAL BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5634
Mailing Address - Country:US
Mailing Address - Phone:504-455-1000
Mailing Address - Fax:504-455-1555
Practice Address - Street 1:3900 VETERANS MEMORIAL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5634
Practice Address - Country:US
Practice Address - Phone:504-455-1000
Practice Address - Fax:504-455-1555
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical