Patricia Kelly Moran Inc | |
5920 Coliseum Blvd Alexandria LA 71303-3714 | |
(318) 443-9339 | |
(318) 443-9116 |
Full Name | Patricia Kelly Moran Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 5920 Coliseum Blvd, Alexandria, Louisiana |
Authorized Official Name and Position | Patricia Kelly Moran (PRESIDENT) |
Authorized Official Contact | 3184439339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patricia Kelly Moran Inc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 443-9339 | Patricia Kelly Moran Inc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 443-9339 |
NPI Number | 1497370969 |
---|---|
Provider Enumeration Date | 06/10/2020 |
Last Update Date | 06/10/2020 |
Certification Date | 06/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497370969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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