Individual
KELLY RENEE FINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD STE 507, BATON ROUGE, LA 70808-4366
(225) 767-1156
(225) 767-5980
Mailing address
7777 HENNESSY BLVD STE 507, BATON ROUGE, LA 70808-4366
(225) 767-1156
(225) 767-5980
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25779
AL
208C00000X
Colon & Rectal Surgery Physician
Primary
203031
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1885100
—
LA
Enumeration date
05/11/2007
Last updated
12/29/2020
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