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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497743645 NPPES
Louisiana MEDICAID 1620467
Louisiana Other P00203569

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