SHANNON KELLEY

HOUMA, LA
NPI1619940954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  04642601678)
Enumeration Date2006-02-08
Last Update Date2007-07-08
Business Address
-- SHANNON KELLEY CRNA
8166 MAIN ST
HOUMA, LA 70360
Phone number: 985-873-4141
Mailing Address
-- SHANNON KELLEY CRNA
PO BOX 6037
HOUMA, LA 70361-6037
Phone number: 985-873-4235