MRS. KELLY WALLS, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1013114842
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 270221 (LA) |
Frequently Asked Questions
NPI 1013114842 is the National Provider Identifier for MRS. KELLY WALLS, LPN, a Licensed Practical Nurse provider located in Shreveport, LA. This NPI was enumerated on June 27, 2007.
MRS. KELLY WALLS, LPN practices at 510 E STONER AVE, Shreveport, LA 71101.
Quick Facts
- NPI
- 1013114842
- Type
- Individual
- Enumerated
- Jun 27, 2007
- Last Updated
- Jul 8, 2007
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