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Individual

KALLIE HESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
2770 3RD AVE STE 300, LAKE CHARLES, LA 70601-8994
(337) 494-6800
(337) 494-4696
Mailing address
PO BOX 122205 DEPT 2205, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08593
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2426826
LA
Enumeration date
03/09/2016
Last updated
08/22/2024
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