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1104081033
KRISTY KELLER PARENT
BATON ROUGE, LA
NPI
1104081033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA 200187)
Enumeration Date
2008-07-21
Last Update Date
2021-06-07
Business Address
KRISTY KELLER PARENT PA
8300 CONSTANTIN BLVD
BATON ROUGE, LA 70809-3489
Phone number: 225-374-1410
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Mailing Address
KRISTY KELLER PARENT PA
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-526-0011
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