NPI 1396384277
Kelly Okorocha, ATCLAT
Practice location
- Address
- 3708 Maplewood Dr, Sulphur, LA 70663-6302
- Phone
- (337) 214-0029
- Mailing address
- 3546 Taylor St, Lake Charles, LA 70607-2110
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1396384277
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Dec 2019
- Record last updated
- 25 Dec 2019
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.