Individual
KELLSI CASTLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5929 W METAIRIE AVE, METAIRIE, LA 70003-4245
(504) 717-3734
Mailing address
5929 W METAIRIE AVE, METAIRIE, LA 70003-4245
(504) 717-3734
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
225798
LA
Other
Enumeration date
03/29/2020
Last updated
06/13/2022
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