Provider Demographics
NPI:1962140046
Name:KLIBERT, VICTORIA FAY (PA)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:FAY
Last Name:KLIBERT
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:445 YENNI DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2564
Mailing Address - Country:US
Mailing Address - Phone:504-339-6120
Mailing Address - Fax:
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5720
Practice Address - Country:US
Practice Address - Phone:504-339-6120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant