Individual
KRISTY RENEE MCCOMIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1585 3RD STREET BUILDING 285, ATTENTION: CREDENTIALS, ROOM 7064, FORT POLK, LA 71459
(337) 531-3561
Mailing address
1585 3RD ST BLDG 285, FORT POLK, LA 71459-5102
(337) 531-3561
(337) 531-3428
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
070301
LA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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