Individual
MS. KELLY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT NP
Contact information
Practice address
111 BEAUPRE DR, LULING, LA 70070-3035
(504) 609-5737
Mailing address
PO BOX 111, BOUTTE, LA 70039-0111
(504) 609-5737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN128901
LA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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