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NPI Code Detail

MEDICARE: KELCI BECNEL BEGUE FNP-C

MEDICARE:   KELCI BECNEL BEGUE  FNP-C
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
1163W00000XRegistered NurseRN137670LA
2363LF0000XFamily Nurse Practitioner214913LA

General Provider Information

NPI Number : 1700402419
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELCI BECNEL BEGUE FNP-C
Provider Business Mailing Address
First Line : 4212 BLUEBONNET BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9675
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4212 BLUEBONNET BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9675
Country : US
Telephone Number : 225-399-0001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2020
Last Update Date : 12/20/2020

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Directions to “ KELCI BECNEL BEGUE FNP-C” Practice Location

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