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Individual

KELLY B WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1423 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3045
(985) 326-8501
(985) 326-8503
Mailing address
1423 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3045
(985) 326-8501
(985) 326-8503

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
07/07/2025
Last updated
07/07/2025
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