COURTNEY KELLY

LAKE CHARLES, LA
NPI1578966735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  128612)
Enumeration Date2014-10-02
Last Update Date2014-10-02
Business Address
-- COURTNEY KELLY
4150 NELSON RD STE A4
LAKE CHARLES, LA 70605-4169
Phone number: 337-474-6353
Mailing Address
-- COURTNEY KELLY
4150 NELSON RD STE A4
LAKE CHARLES, LA 70605-4169
Phone number: