Individual
KELLY L TOUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
152 SAND BEACH BLVD, SHREVEPORT, LA 71105-4504
(318) 401-6709
Mailing address
152 SAND BEACH BLVD, SHREVEPORT, LA 71105-4504
(318) 401-6709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04292
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2490397
—
LA
Enumeration date
03/15/2006
Last updated
09/30/2021
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