Individual
MR. CHRISTOPHER KYLE GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3730 NELSON RD, LAKE CHARLES, LA 70605-2412
(337) 656-7700
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
212041
LA
363LF0000X
Family Nurse Practitioner
Primary
212041
LA
Other
Enumeration date
04/08/2020
Last updated
06/10/2021
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