Organization
VELOCITY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN GILLUM (DIRECTOR OF OVERSIGHT & MANAGEMENT)
(318) 629-3763
Entity
Organization
Contact information
Practice address
307 KEYSER AVE, NATCHITOCHES, LA 71457-5801
(318) 352-5221
(318) 352-7757
Mailing address
307 KEYSER AVE, NATCHITOCHES, LA 71457-5801
(318) 352-5221
(318) 352-7757
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD.019455
LA
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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