Individual
MR. KERRY LAYNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 466-6413
Mailing address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 466-6413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16539
LA
Other
Enumeration date
09/27/2013
Last updated
10/24/2016
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