Individual
AMBER KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3100 FORSYTHE AVE, MONROE, LA 71201-3014
(318) 966-6800
(318) 966-6801
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-6800
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
08378
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2398041
—
LA
Enumeration date
06/25/2015
Last updated
12/29/2023
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