Guillory, Shelly Kaye

Guillory, Shelly Kaye is an individual health care provider with primary practice located at 1614 Wolf Cir , Lake Charles LA 70605-2348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Guillory, Shelly Kaye can be contacted via phone (337) 478-9653.

Contact Information

Primary practice address
1614 Wolf Cir Lake Charles LA 70605-2348
Phone: (337) 478-9653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APO4498 Louisiana

Profile Details

NPI number 1104865336
LBN Legal business name Guillory, Shelly Kaye
Credentials APRN C-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 14th, 2017 - about 7 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104865336 NPPES
Louisiana MEDICAID 1465577

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