KELLY MARTIN GARDNER

SHREVEPORT, LA
NPI1558623439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: LA  RN089405)
Enumeration Date2012-06-15
Last Update Date2012-06-15
Business Address
-- KELLY MARTIN GARDNER R.N
1035 CRESWELL AVE
SHREVEPORT, LA 71101-3917
Phone number: 318-676-5623
Mailing Address
-- KELLY MARTIN GARDNER R.N
8200 MAURICE ST
SHREVEPORT, LA 71107-9649
Phone number: 318-309-3917