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Individual

KIMBERLY ROSHELLE CONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
62112 BENNETT RD, ROSELAND, LA 70456-1706
(985) 510-1382
Mailing address
PO BOX 1268, AMITE, LA 70422-1268

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
215034
LA
363LF0000X
Family Nurse Practitioner
215034
LA

Other

Enumeration date
08/05/2020
Last updated
07/20/2022
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