KASSIDY B WALL

COVINGTON, LA
NPI1154845147
Former NameKASSIDY BYNUM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP09476)
Enumeration Date2017-08-01
Last Update Date2025-09-29
Business Address
KASSIDY B WALL FNP
1970 N HIGHWAY 190
COVINGTON, LA 70433-5364
Phone number: 985-400-5988
Mailing Address
KASSIDY B WALL FNP
PO BOX 3370
COVINGTON, LA 70434-3370
Phone number: 985-867-8585
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