Individual
KAILEY CLAIRE MATACONIS DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2449 HOSPITAL DR STE 200, BOSSIER CITY, LA 71111-1905
(318) 212-7841
(318) 212-7846
Mailing address
2449 HOSPITAL DR STE 200, BOSSIER CITY, LA 71111-1905
(318) 212-7841
(318) 212-7846
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
210588
LA
Other
Enumeration date
08/17/2024
Last updated
10/01/2024
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