Individual
KAITLYN PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9209 MANSFIELD RD, SHREVEPORT, LA 71118-3152
(318) 671-0271
Mailing address
1535 RIVER PARKWAY BLVD, APT 612, SHREVEPORT, LA 71104-1808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PR45425
ME
183500000X
Pharmacist
Primary
PST.021210
LA
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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