Individual
KAYLYN ANN COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 W 8TH ST, DERIDDER, LA 70634-5507
(337) 462-2262
(337) 462-2295
Mailing address
PO BOX 730, DERIDDER, LA 70634-0730
(337) 462-2262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
266607
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2631144
—
LA
Enumeration date
07/18/2022
Last updated
08/14/2024
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