# CENLA URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093010019
- **Authorized official:** SARA E KELLY DO (OWNER/PROVIDER)
- **Authorized official phone:** (318) 427-7900

## Contact information

- **Practice address:** 224 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
- **Practice address phone:** (318) 427-7900
- **Practice address fax:** (318) 427-7901
- **Mailing address:** 4100 EMBASSY DR SE, SUITE 200, GRAND RAPIDS, MI 49546-2416
- **Mailing address phone:** (616) 975-1845
- **Mailing address fax:** (616) 285-0846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2011
- **Last updated:** 12/19/2013