Individual
KALA PARKS SISTRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 COUNTRY ESTATES DR, WEST MONROE, LA 71291-9078
(318) 680-2491
Mailing address
119 COUNTRY ESTATES DR, WEST MONROE, LA 71291-9078
(318) 680-2491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200335
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2484028
—
LA
Enumeration date
10/24/2018
Last updated
03/09/2021
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