Individual
KELLIE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6545
(337) 261-6550
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6545
(337) 261-6550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN121064
LA
363L00000X
Nurse Practitioner
Primary
AP07752
LA
Other
Enumeration date
05/01/2014
Last updated
03/17/2015
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