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Individual

KELLY K COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
501 MEDICAL CENTER DR, SUITE 3A, ALEXANDRIA, LA 71301-8124
(318) 484-3899
(318) 484-3887
Mailing address
PO BOX 457, FOREST HILL, LA 71430-0457
(318) 794-2428

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN082563
LA
363L00000X
Nurse Practitioner
Primary
AP04590
LA
363LP0200X
Pediatric Nurse Practitioner
RN082563
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1670855
LA
Enumeration date
02/11/2009
Last updated
09/07/2022
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