Kayci Dial Wilson NURSE PRACTITIONER

NPI 1720205586 - Registered Nurse - 163W00000X

NPI Details
NPI 1720205586
Gender Female
Enumeration Date 04/20/2007
Last Updated 05/27/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2727 HEARNE AVE
SUITE 300
SHREVEPORT LA, 71103-3917, US
Phone (318) 798-9400
Fax (318) 798-3894
Business Location
PO BOX 51008
SHREVEPORT LA, 71135-1008, US
Phone (318) 798-9400
Fax (318) 798-3894
Toxanomy
Taxonomy Code 163W00000X
License State Louisiana
License Number RN097383
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According to our database, Kayci Dial Wilson NURSE PRACTITIONER NPI is 1720205586, taxonomy code is 163W00000X and license number is RN097383, license state is located at Louisiana. Kayci Dial Wilson NURSE PRACTITIONER physically located at 2727 Hearne Ave, Shreveport LA, 71103-3917. NPI Number Kayci Dial Wilson NURSE PRACTITIONER has the Individual type.

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1720205586 NPI number is provided on an as is basis without warranty of any kind. 1720205586 is maintained by the National Plan & Provider Enumeration System. The contents of Kayci Dial Wilson NURSE PRACTITIONER are for informational purposes only.