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Kelly Brandon, LOTR

NPI 1821630385 · on the registry since 2019

Practice

Address
4350 Viking Loop
Bossier City, LA 71111
Phone
(318) 746-1199
Fax
(318) 409-8060
Clinicians at this address
3

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-16

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