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Michael Kelly

Case Manager/Care Coordinator in Monroe, LA. Individual provider (NPI-1).

NPI number1508239708
StatusActive
Last updated in NPPESJun 4, 2018

Details

NPI
1508239708
Entity type
Individual (NPI-1)
Name
Michael Kelly
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 10, 2015
Last updated
Jun 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

4951 Central Ave
Monroe, LA 71203

Phone 318-340-1535

Mailing address

850 Kaliste Saloom Rd Ste 117
Lafayette, LA 70508-4230

Phone 337-234-7109

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