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NPI Code Detail

MEDICARE: MARLA SCOTT KELLY MD

MEDICARE: MARLA SCOTT KELLY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician333697LA

General Provider Information

NPI Number : 1184881021
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLA SCOTT KELLY MD
Provider Business Mailing Address
First Line : PO BOX 730
Second Line :
City : DERIDDER
State : LA
Zip : 70634-0730
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 206 W 5TH ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4856
Country : US
Telephone Number : 337-462-7160
Fax Number : 337-462-7103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2008
Last Update Date : 05/25/2023

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Directions to “ MARLA SCOTT KELLY MD” Practice Location

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