NPI 1013258896

Lisa Nicole Kellogg, CRNA

Practitioner Certified Registered Nurse Anesthetist Shreveport, LA

Practice location

Address: 1541 Kings Hwy, Shreveport, LA 71103-4228
Phone: (318) 675-5000
Mailing address: 9329 Castlebrook Dr, Shreveport, LA 71129-4807

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP07151 (LA)

Other Nurse Anesthetist, Certified Registered providers in Louisiana →

Registry record

NPI: 1013258896
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2013
Record last updated: 9 Sep 2016

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.