Individual
KAY L. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7551 YOUREE DR STE 11, SHREVEPORT, LA 71105-5533
(318) 642-9282
(833) 749-0340
Mailing address
7551 YOUREE DR STE 11, SHREVEPORT, LA 71105-5533
(318) 642-9282
(833) 749-0340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12198R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1695386
—
LA
Enumeration date
05/17/2006
Last updated
08/08/2022
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