Individual
DR. KELLEY WILLIS SHERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD., SUTIE S-450, MARRERO, LA 70072
(504) 349-6401
(504) 349-6444
Mailing address
PO BOX 1520, MARRERO, LA 70073-1520
(504) 349-6423
(504) 934-8097
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.206813
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107607
—
LA
Enumeration date
03/24/2010
Last updated
07/21/2022
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