Individual
KELLEYE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53112 HIGHWAY 62, FRANKLINTON, LA 70438-6544
(985) 515-0906
Mailing address
53112 HIGHWAY 62, FRANKLINTON, LA 70438-6544
(985) 515-0906
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
200499
LA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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