Organization
MINDEN INTERNAL MEDICINE & PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY M CARLISLE MD (OWNER)
(318) 377-2979
Entity
Organization
Contact information
Practice address
101 OFFICE PARK DR, MINDEN, LA 71055-3088
(318) 377-2979
(318) 377-2596
Mailing address
101 OFFICE PARK DR, MINDEN, LA 71055-3088
(318) 377-2979
(318) 377-2596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
LA
Other
Enumeration date
01/17/2006
Last updated
04/20/2008
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