Individual
SARA E. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
224 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
(318) 427-7900
(318) 427-7901
Mailing address
224 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
(318) 427-7900
(318) 427-7901
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3961
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200020210A
—
OK
01
—
DO.000133
LA LICENSE
LA
Enumeration date
09/21/2005
Last updated
01/30/2011
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