Individual
KELLI KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58518 DELACROIX AVE, PLAQUEMINE, LA 70764-3526
(225) 454-1676
Mailing address
58518 DELACROIX AVE, PLAQUEMINE, LA 70764-3526
(225) 454-1676
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A7610
LA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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