Individual
KELLY TRAM BANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
824 GRAND LAKES DR, BATON ROUGE, LA 70810-7316
(225) 202-4708
Mailing address
824 GRAND LAKES DR, BATON ROUGE, LA 70810-7316
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
05/29/2024
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