Individual
MRS. KALEA GADDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5629
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310473
LA
Other
Enumeration date
09/11/2018
Last updated
10/21/2022
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