KELLY BANKSTON

CLINTON, LA
NPI1073289104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  221765)
Enumeration Date2021-08-18
Last Update Date2022-03-09
Business Address
Mrs. KELLY BANKSTON APRN
11990 JACKSON ST
CLINTON, LA 70722-3210
Phone number: 225-683-5292
Mailing Address
Mrs. KELLY BANKSTON APRN
11990 JACKSON ST
CLINTON, LA 70722-3210
Phone number: 225-683-5292
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