Individual
KYLEE BROOKE POUDRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8383 MILLICENT WAY STE B, SHREVEPORT, LA 71115-5207
(318) 631-9121
(318) 213-6246
Mailing address
3217 MABEL ST, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 631-9126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235642
LA
Other
Enumeration date
04/22/2024
Last updated
05/31/2024
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