RYAN MICHAEL KELLEY

THIBODAUX, LA
NPI1346855517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: LA  214914)
Enumeration Date2020-09-14
Last Update Date2020-09-14
Business Address
RYAN MICHAEL KELLEY PMHNP-BC
126 RUE COLETTE
THIBODAUX, LA 70301-5628
Phone number: 985-625-0023
Mailing Address
RYAN MICHAEL KELLEY PMHNP-BC
126 RUE COLETTE
THIBODAUX, LA 70301-5628
Phone number: 985-625-0023
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