Individual
KAITLYN BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-4092
Mailing address
2300 HOSPITAL DR STE 200, BOSSIER CITY, LA 71111-2169
(318) 212-7830
(318) 212-7835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
341091
LA
Other
Enumeration date
04/21/2022
Last updated
09/09/2025
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