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Individual

KELSEY AUSTIN ELLENDER-BARTHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8001 YOUREE DR STE 350, SHREVEPORT, LA 71115-2326
(318) 212-3369
Mailing address
8001 YOUREE DR STE 350, SHREVEPORT, LA 71115-2326
(318) 212-3369

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310469
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
LA
Enumeration date
09/17/2018
Last updated
02/26/2024
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