Individual
KATHY BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CREOLE LN, WEST MONROE, LA 71291-4776
(678) 650-4092
Mailing address
121 CREOLE LN, WEST MONROE, LA 71291-4776
(678) 650-4092
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-5031263
TAX ID
LA
Enumeration date
10/10/2024
Last updated
10/10/2024
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