Individual
KELAN K BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
3810 JEWELLA AVE # 7332, SHREVEPORT, LA 71109-4706
(318) 631-9010
(318) 631-1182
Mailing address
5921 YUKON DR, SHREVEPORT, LA 71107-2034
(318) 631-9010
(318) 631-1182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017385
LA
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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