KYLEE BROOKE POUDRIER

SHREVEPORT, LA
NPI1629823794
Other NameKYLEE BROOKE BENTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  235642)
Enumeration Date2024-04-22
Last Update Date2024-05-31
Business Address
KYLEE BROOKE POUDRIER FNP
8383 MILLICENT WAY STE B
SHREVEPORT, LA 71115-5207
Phone number: 318-631-9121
Mailing Address
KYLEE BROOKE POUDRIER FNP
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121