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Provider Information for 1922882877


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KELSEY GIDDINGS MA, PLPC


Sex: Female

NPI: 1922882877
Last Updated: 2023-08-22
Certification Date: 2023-08-22

Details

NameValue
NPI1922882877
Enumeration Date2023-08-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
United States

Phone: | Fax:
 
Primary Practice Address 103 W BOUNDARY AVE
WINNFIELD, LA 71483-2757
United States

Phone: 318-628-1505 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor LAPLC9421