MEDICARE: KIELY MUEY NP

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
1	363LF0000X	Family Nurse Practitioner	224397	LA

General Provider Information

NPI Number	:	1770233546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIELY MUEY NP

Provider Business Mailing Address
First Line	:	5224 75TH ST STE D
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-2525
Country	:	US
Telephone Number	:	806-701-4923
Fax Number	:

Provider Business Practice Location Address
First Line	:	6198 CYPRESS ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-9013
Country	:	US
Telephone Number	:	318-396-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2022
Last Update Date	:	03/25/2022

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