KELLY VALENTINE NOVAK

SHREVEPORT, LA
NPI1750364428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP04759)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: LA  PA 020646)
Enumeration Date2005-11-27
Last Update Date2014-01-10
Business Address
Mrs. KELLY VALENTINE NOVAK F. N. P.
8001 YOUREE DR SUITE 880
SHREVEPORT, LA 71115-2302
Phone number: 318-798-3328
Mailing Address
Mrs. KELLY VALENTINE NOVAK F. N. P.
127 OAK LEAF TRL
BENTON, LA 71006-9600
Phone number: 318-965-4759
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