Individual
ZONA C KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9402 STONEBRIAR CIR, SHREVEPORT, LA 71115-3724
(318) 286-3723
Mailing address
9402 STONEBRIAR CIR, SHREVEPORT, LA 71115-3724
(318) 286-3723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2298
LA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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