Individual
KELLIE BOURG PADDY
Active
Individual
KELLIE BOURG PADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN105307-AP05784
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2572555
—
LA
Enumeration date
04/07/2009
Last updated
02/27/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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