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Individual

MRS. KELLY ANN POIRIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.N.P.

Contact information

Practice address
2600 JOHNSTON ST STE 260, LAFAYETTE, LA 70503-3269
(337) 889-5364
(337) 210-5351
Mailing address
2600 JOHNSTON ST STE 260, LAFAYETTE, LA 70503-3269
(337) 889-5364
(337) 210-5351

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP05198
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05198 RN097580
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010124
LSBN
LA
05
2102630
LA
Enumeration date
01/15/2008
Last updated
12/04/2025
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