Latonya Renae Kelly M.D.

NPI 1063430213 - Family Medicine - 207Q00000X

NPI Details
NPI 1063430213
Gender Female
Enumeration Date 07/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3921 I 49 S SERVICE RD
OPELOUSAS LA, 70570-0758, US
Phone (337) 942-5706
Fax (337) 942-2644
Business Location
3921 I 49 S SERVICE RD
OPELOUSAS LA, 70570-0758, US
Phone (337) 942-5706
Fax (337) 942-2644
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number 200059
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According to our database, Dr. Latonya Renae Kelly M.D. NPI is 1063430213, taxonomy code is 207Q00000X and license number is 200059, license state is located at Louisiana. Latonya Renae Kelly M.D. physically located at 3921 I 49 S Service Rd, Opelousas LA, 70570-0758. NPI Number Latonya Renae Kelly M.D. has the Individual type.

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1063430213 NPI number is provided on an as is basis without warranty of any kind. 1063430213 is maintained by the National Plan & Provider Enumeration System. The contents of Latonya Renae Kelly M.D. are for informational purposes only.