Organization
SICK DAY RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY SMITH CRAWFORD DNP, MSN, APRN, FNP- (OWNER)
(318) 347-6220
Entity
Organization
Contact information
Practice address
817 ARDENNES CT, SHREVEPORT, LA 71115-4613
(318) 347-6220
Mailing address
817 ARDENNES CT, SHREVEPORT, LA 71115-4613
(318) 347-6220
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2197959
—
LA
Enumeration date
04/14/2020
Last updated
04/14/2020
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