Individual
MS. KIMBERLY AVANT RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
211 N 3RD ST STE A, ALEXANDRIA, LA 71301-8568
(318) 625-7299
(318) 625-7169
Mailing address
211 N 3RD ST STE A, ALEXANDRIA, LA 71301-8568
(186) 257-2993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06212
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2195565
—
LA
Enumeration date
08/23/2010
Last updated
06/28/2021
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