Individual
KELLI SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6000
(318) 798-4612
(318) 798-4612
Mailing address
902 TRABUE ST, SHREVEPORT, LA 71106-1115
(318) 349-2488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015373
LA
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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