Individual provider · Type 1 NPI
Zondrian Kelly
Family Nurse Practitioner · Shreveport, LA
NPI number
1992675011
Active
Practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Fax (318) 698-5039
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 240950 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992675011
Zondrian Kelly's National Provider Identifier is 1992675011, issued on Nov 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Apr 13, 2026.