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Individual

KALEIGH MARIE STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
102 S MONROE ST STE B, MINDEN, LA 71055-3357
(318) 382-7290
(318) 382-7292
Mailing address
102 S MONROE ST STE B, MINDEN, LA 71055-3357
(318) 382-7290
(318) 382-7292

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213833
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008174503
LOUISIANA STATE DRIVERS LIC
LA
Enumeration date
06/12/2020
Last updated
06/12/2020
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