Individual
KALLIE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 W 5TH ST, DERIDDER, LA 70634-4856
(337) 221-1417
(337) 221-1418
Mailing address
200 W 5TH ST, DERIDDER, LA 70634-4856
(337) 202-7850
(337) 221-1418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08746
LA
Other
Enumeration date
04/08/2016
Last updated
06/26/2024
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