Individual
KERRI M KITTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
901 GAUSE BLVD STE 100, SLIDELL, LA 70458
(985) 280-8970
(985) 280-2618
Mailing address
901 GAUSE BLVD STE 100, SLIDELL, LA 70458-2949
(985) 280-8970
(985) 280-2618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902322
MS
363LF0000X
Family Nurse Practitioner
902322
MS
363LF0000X
Family Nurse Practitioner
AP05411
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP05411
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801020433
NPI SMH PHYSICIAN NETWORK
LA
Enumeration date
03/05/2008
Last updated
11/04/2020
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