Individual
MRS. KELLY N BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
104 INNWOOD DRIVE, COVINGTON, LA 70433-3358
(985) 249-7022
(985) 249-7048
Mailing address
104 INNWOOD DR, COVINGTON, LA 70433-9123
(985) 249-7022
(985) 249-7048
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP04907
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1504203
—
LA
Enumeration date
03/24/2008
Last updated
07/19/2012
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