Individual
MRS. KELLY LANCLOS SPURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NURSE PRACTITI
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508
(337) 470-2017
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06712
LA
Other
Enumeration date
02/09/2012
Last updated
04/23/2021
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