Individual
MRS. KELLY VALENTINE NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F. N. P.
Contact information
Practice address
8001 YOUREE DR, SUITE 880, SHREVEPORT, LA 71115-2302
(318) 798-3328
Mailing address
127 OAK LEAF TRL, BENTON, LA 71006-9600
(318) 965-4759
(318) 965-3840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04759
LA
363LF0000X
Family Nurse Practitioner
PA 020646
LA
Other
Enumeration date
11/27/2005
Last updated
01/10/2014
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