Individual
MRS. KRISTY H CORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2551 GREENWOOD ROAD, SUITE 210, SHREVEPORT, LA 71103-3905
(318) 635-0834
(318) 636-2331
Mailing address
2551 GREENWOOD ROAD, SUITE 210, SHREVEPORT, LA 71103-3905
(318) 635-0834
(318) 636-2331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAA10364
LA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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