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Organization
KIMBERLY COLSTON
Active
Organization
KIMBERLY COLSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY COLSTON PMHNP-BC (OWNER)
(318) 704-0640
Entity
Organization
Contact information
Practice address
108 CONSTITUTION DR, ALEXANDRIA, LA 71303-3521
(318) 704-0640
(318) 704-0642
Mailing address
108 CONSTITUTION DR, ALEXANDRIA, LA 71303-3521
(318) 704-0640
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
07/06/2022
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