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KIMBERLY ROSHELLE CONEY FNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1124638036

Individual Registrant:
 KIMBERLY ROSHELLE CONEY FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
62112 BENNETT RD  ROSELAND, LA 70456-1706 US
Tel: 985-510-1382  Fax: --

Contact information for business:
PO BOX 1268  AMITE, LA 70422-1268 US
Tel: --  Fax: --

Registration Information:
NPI: 1124638036
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
LA215034

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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