Bertrand, Kellie Roy
Bertrand, Kellie Roy is an sole proprietor health care provider with primary practice located at 118 Jjj Ln , Simmesport LA 71369-2180. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bertrand, Kellie Roy can be contacted via phone (318) 941-5286.Contact Information
Primary practice address
118 Jjj Ln
Simmesport LA 71369-2180
Phone: (318) 941-5286
Fax: (318) 941-5284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN096429 AP04315 | Louisiana |
Profile Details
| NPI number | 1225014665 |
|---|---|
| LBN Legal business name | Bertrand, Kellie Roy |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2005 |
| Last updated | May 1st, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225014665 | NPPES |
| Louisiana | MEDICAID | 1174882 |
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