Individual provider · Type 1 NPI
Kellie Bourg Paddy, A.P.R.N.
Adult Health Nurse Practitioner · Leesville, LA
NPI number
1154564169
Active
Practice location
931 Verone Ter
Leesville, LA 71446-4272
Fax (337) 404-1709
Mailing address
PO Box 730
Deridder, LA 70634-0730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN105307-AP05784 (LA) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1154564169
Kellie Bourg Paddy, A.P.R.N.'s National Provider Identifier is 1154564169, issued on Apr 7, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Leesville, LA. The record was last updated on Feb 27, 2026.