Kelly, Brandi J

Kelly, Brandi J is an individual health care provider with primary practice located at 830 W Bayou Pines Dr , Lake Charles LA 70601-7097. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Kelly, Brandi J can be contacted via phone (337) 436-9557.

Contact Information

Primary practice address
830 W Bayou Pines Dr Lake Charles LA 70601-7097
Phone: (337) 436-9557
Fax: (337) 312-1311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD.201854 Louisiana

Profile Details

NPI number 1205046414
LBN Legal business name Kelly, Brandi J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Aug 26th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205046414 NPPES
Louisiana MEDICAID 1214671

Popular Providers