KIRSTI NICOLE PEAVY

SHREVEPORT, LA
NPI1417284373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  PA200315)
Enumeration Date2009-11-12
Last Update Date2016-03-30
Business Address
Mrs. KIRSTI NICOLE PEAVY PA
2551 GREENWOOD RD
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8424
Mailing Address
Mrs. KIRSTI NICOLE PEAVY PA
2038 URBANDALE ST
SHREVEPORT, LA 71118-3325
Phone number: 318-349-8179
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