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1932981891
KELLY C GRADY
COVINGTON, LA
NPI
1932981891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA AP232171)
Enumeration Date
2023-10-16
Last Update Date
2024-03-13
Business Address
KELLY C GRADY NP
101 JUDGE TANNER BLVD STE 300
COVINGTON, LA 70433-7506
Phone number: 985-867-2100
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Mailing Address
KELLY C GRADY NP
LCMC HEALTH - PAYOR ENROLLMENTS 1100 POYDRAS ST., STE. 2500
NEW ORLEANS, LA 70163-2500
Phone number: 504-527-9953
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