DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLI A WIMBERLY RD

MEDICARE: KELLI A WIMBERLY RD
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
1133V00000XRegistered Dietitian1717LA

General Provider Information

NPI Number : 1992768428
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI A WIMBERLY RD
Provider Business Mailing Address
First Line : 1701 21ST ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-8941
Country : US
Telephone Number : 337-479-6056
Fax Number :
Provider Business Practice Location Address
First Line : 524 S RYAN ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-5725
Country : US
Telephone Number : 337-430-5448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1629076468 — CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Practice Location Address:
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA
70601-5725
Practice Phone: 337-436-2511
Practice Fax: 469-282-1791
1801895644 — CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Practice Location Address:
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA
70601-5725
Practice Phone: 337-436-2511
Practice Fax: 469-282-1791
1861491375 — CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Practice Location Address:
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA
70601-5725
Practice Phone: 337-436-2511
Practice Fax: 469-282-1791
1942262951 — JULIE A GUTIERREZ RD
Practice Location Address:
524 S RYAN ST
LAKE CHARLES, LA
70601-5725
Practice Phone: 337-431-7968
Practice Fax:
1396787982 — MISS ANTOINETTE LUQUETTE NP
Practice Location Address:
524 S RYAN ST
LAKE CHARLES, LA
70601-5725
Practice Phone: 337-491-7755
Practice Fax:
1619911682 — DR. JOHN M BURTON MD
Practice Location Address:
524 S RYAN ST
LAKE CHARLES, LA
70601-5725
Practice Phone: 337-491-7755
Practice Fax:

Directions to “ KELLI A WIMBERLY RD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.