Provider Demographics
NPI:1740530518
Name:PIERRE-LOUIS, KERBY (PA)
Entity type:Individual
Prefix:
First Name:KERBY
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 BALBOA BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-5209
Mailing Address - Country:US
Mailing Address - Phone:818-650-2250
Mailing Address - Fax:
Practice Address - Street 1:5400 BALBOA BLVD STE 212
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-5209
Practice Address - Country:US
Practice Address - Phone:818-650-2250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA22357363A00000X
NY015836363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant