Individual
MRS. KELSEY COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 433-8400
Mailing address
1110 BROAD AVE, STE 500, GULFPORT, MS 39501-8902
(228) 575-2588
(228) 864-4154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
894538
MS
363LF0000X
Family Nurse Practitioner
AP127701
TX
Other
Enumeration date
03/31/2015
Last updated
09/28/2018
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