KAITLYN BLAND

SHREVEPORT, LA
NPI1427792969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  341091)
Enumeration Date2022-04-21
Last Update Date2025-09-09
Business Address
-- KAITLYN BLAND
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-4092
Mailing Address
-- KAITLYN BLAND
2300 HOSPITAL DR STE 200
BOSSIER CITY, LA 71111-2169
Phone number: 318-212-7830