Healthcare Provider Details

I. General information

NPI: 1598674939
Provider Name (Legal Business Name): KELSEY ELIZABETH PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 CYPRESS ST
WEST MONROE LA
71291-4506
US

IV. Provider business mailing address

2601 CYPRESS ST
WEST MONROE LA
71291-4506
US

V. Phone/Fax

Practice location:
  • Phone: 318-582-5346
  • Fax: 318-582-5348
Mailing address:
  • Phone: 318-582-5346
  • Fax: 318-582-5348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10277
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: