KELLY LOUISE BEAVERS

SHREVEPORT, LA
NPI1942041660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA  235754)
Enumeration Date2024-06-05
Last Update Date2024-06-05
Business Address
Mrs. KELLY LOUISE BEAVERS APRN, FNP-C
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-226-3306
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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