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1942041660
KELLY LOUISE BEAVERS
SHREVEPORT, LA
NPI
1942041660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA 235754)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
Mrs. KELLY LOUISE BEAVERS APRN, FNP-C
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-226-3306
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Mailing Address
Mrs. KELLY LOUISE BEAVERS APRN, FNP-C
P O BOX 8500 LOCK BOX 7642
PHILADELPHIA, PA 19178-7642
Phone number: 813-821-8478
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