Individual
KIMBERLY J SILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
500 MOSLEY RD, DRY PRONG, LA 71423-4033
(318) 359-8034
Mailing address
500 MOSLEY RD, DRY PRONG, LA 71423-4033
(318) 359-8034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08460
LA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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