HOLLEY NANETTE KELLEY

LAKE CHARLES, LA
NPI1225234701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  DO.000350)
Additional Taxonomies207Q00000X Family Medicine
(Licence: KS  0534293)
Enumeration Date2007-06-22
Last Update Date2016-09-14
Business Address
-- HOLLEY NANETTE KELLEY D.O.
4345 NELSON RD
LAKE CHARLES, LA 70605-4119
Phone number: 337-480-7900
Mailing Address
-- HOLLEY NANETTE KELLEY D.O.
PO BOX123594 DEPT 2394
DALLAS, TX 75312-3594
Phone number: 337-480-7900