Individual
ZONDRIAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-1080
(318) 698-5039
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-2471
(318) 399-6169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
240950
LA
Other
Enumeration date
11/05/2025
Last updated
04/13/2026
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