Individual
NANCY LYNNE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 BENTON RD, BOSSIER CITY, LA 71111-2303
(318) 470-2463
Mailing address
2415 BENTON RD, BOSSIER CITY, LA 71111-2303
(318) 470-2463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1097
LA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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