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Organization
LIVING WELLNESS LLC
Active
Organization
LIVING WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANN ROBINSON APRN (OWNER/NURSE PRACTITIONER)
(504) 756-8036
Entity
Organization
Contact information
Practice address
70372 5TH ST, COVINGTON, LA 70433-5423
(504) 756-8036
(337) 643-8407
Mailing address
70372 5TH ST, COVINGTON, LA 70433-5423
(504) 756-8036
(337) 643-8407
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP06829
LA
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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