Individual
KAYLAN OLIVIA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-2600
Mailing address
13623 MAILBOX RD, VIVIAN, LA 71082-9022
(318) 469-0439
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
208940
LA
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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