Individual
KELLY S. SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UMC PATHOLOGY, 2390 W CONGRESS ST, LAFAYETTE, LA 70506
(337) 261-6212
Mailing address
1340 POYDRAS ST, NEW ORLEANS, LA 70112-1221
(504) 412-1860
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
22378
LA
Other
Enumeration date
07/23/2006
Last updated
07/16/2007
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