Guedry, Kelly Elizabeth
Guedry, Kelly Elizabeth is an individual health care provider with primary practice located at 11990 Jackson St , Clinton LA 70722-3210. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Guedry, Kelly Elizabeth can be contacted via phone (225) 683-5292.Contact Information
Primary practice address
11990 Jackson St
Clinton LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-1310
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 6349 | Louisiana |
Dental Providers / Dentist | 122300000X | 6349 | Louisiana |
Profile Details
NPI number | 1457799082 |
---|---|
LBN Legal business name | Guedry, Kelly Elizabeth |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2013 |
Last updated | Mar 19th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457799082 | NPPES |
Louisiana | MEDICAID | 1863491 |
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