Individual
JANAI' N KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 SAN JOSE ST, NEW IBERIA, LA 70563-1130
(337) 251-6890
Mailing address
216 SAN JOSE ST, NEW IBERIA, LA 70563-1130
(337) 251-6890
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
008008866
LA
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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