Individual
DR. LATONYA RENAE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3921 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 942-5706
(337) 942-2644
Mailing address
3921 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 942-5706
(337) 942-2644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200059
LA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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