| NPI | 1437664943 |
|---|---|
| Doing Business As | PRIMARY CARE AT HOME OF KENNER |
| Entity Type | Organization |
| Authorized Contact | DONALD D. STELLY President 337-233-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |