Individual
MRS. KATHY JEAN WALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13964 GUY ST, WALKER, LA 70785-8035
(225) 939-7750
(225) 686-3082
Mailing address
PO BOX 1130, LIVINGSTON, LA 70754-1130
(225) 686-7044
(225) 686-3052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
053141
LA
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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