Whalio Doctors

NPI 1013114842

Kelly Ann Walls, LPN

Practitioner Licensed Practical Nurse Shreveport, LA

Practice location

Address
510 E Stoner Ave, Shreveport, LA 71101-4243
Phone
(318) 221-8411
Mailing address
222 Country Club Dr, Benton, LA 71006-9463

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 270221 (LA)

Registry record

NPI
1013114842
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jun 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.