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Individual

OLLE KJELLGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2633 NAPOLEON AVE, SUITE 500, NEW ORLEANS, LA 70115-6357
(504) 897-9686
Mailing address
2633 NAPOLEON AVE, SUITE 500, NEW ORLEANS, LA 70115-6357
(504) 897-9686

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11239R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03603593
MS
05
1665398
LA
Enumeration date
08/16/2005
Last updated
11/17/2015
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