Individual
KIRKLAND PELICHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 COURT ST, PORT ALLEN, LA 70767-2747
(225) 245-9070
Mailing address
415 COURT ST, PORT ALLEN, LA 70767-2747
(225) 245-9070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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