Toups, Kelly L

Toups, Kelly L is an individual health care provider with primary practice located at 152 Sand Beach Blvd , Shreveport LA 71105-4504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Toups, Kelly L can be contacted via phone (318) 401-6709.

Contact Information

Primary practice address
152 Sand Beach Blvd Shreveport LA 71105-4504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP04292 Louisiana

Profile Details

NPI number 1912976614
LBN Legal business name Toups, Kelly L
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Sep 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912976614 NPPES
Louisiana MEDICAID 2490397

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