Individual
REBECCA LYNN KIELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 N PINE ST, DERIDDER, LA 70634-3546
(337) 462-6000
Mailing address
352 C DEES RD, DERIDDER, LA 70634-8949
(337) 401-6144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10137
LA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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