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Search › Louisiana › 101YA0400X

David Kelly, CIT-5052

NPI 1699308296 · on the registry since 2020 · sole proprietor

Practice

Address
19411 Helenbirg Rd Ste 101
Covington, LA 70433
Phone
(985) 985-3172
Organisation at this address
Janus Rx Llc
Lake Wellness Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana