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Individual

KELLI MCMANUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CPNP-PC

Contact information

Practice address
1268 SOUTHAMPTON DR, ALEXANDRIA, LA 71303-3036
(318) 449-4886
(318) 449-4877
Mailing address
4630 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6949
(337) 456-6892

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP208698
LA

Other

Enumeration date
09/24/2019
Last updated
09/05/2023
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