Guedry, Kelly Elizabeth

Guedry, Kelly Elizabeth is an individual health care provider with primary practice located at 11990 Jackson St , Clinton LA 70722-3210. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Guedry, Kelly Elizabeth can be contacted via phone (225) 683-5292.

Contact Information

Primary practice address
11990 Jackson St Clinton LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-1310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6349 Louisiana
Dental Providers / Dentist 122300000X 6349 Louisiana

Profile Details

NPI number 1457799082
LBN Legal business name Guedry, Kelly Elizabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Mar 19th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457799082 NPPES
Louisiana MEDICAID 1863491

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