Kelone, Susan Tracy Fryar
Kelone, Susan Tracy Fryar is an individual health care provider with primary practice located at 3425 North Blvd , Alexandria LA 71301-3676. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelone, Susan Tracy Fryar can be contacted via phone (318) 442-2339.Contact Information
Primary practice address
3425 North Blvd
Alexandria LA 71301-3676
Phone: (318) 442-2339
Fax: (318) 442-2340
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APO4542 | Louisiana |
Profile Details
NPI number | 1497743645 |
---|---|
LBN Legal business name | Kelone, Susan Tracy Fryar |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2005 |
Last updated | Feb 9th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497743645 | NPPES |
Louisiana | MEDICAID | 1620467 | |
Louisiana | Other | P00203569 |
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