Individual
LAURIE M. KINCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP,CNS
Contact information
Practice address
29565 S FROST RD STE C, LIVINGSTON, LA 70754-1903
(225) 686-1114
(225) 686-1166
Mailing address
PO BOX 1567, LIVINGSTON, LA 70754-1567
(225) 686-1114
(225) 686-1166
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP04682
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1623156
—
LA
Enumeration date
07/18/2005
Last updated
08/12/2024
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