person
Ms. Kelly Liner Duke, PA
Medical Physician Assistant in Gonzales, Louisiana
NPI 1376522425

Kelly Liner Duke is a Medical Physician Assistant based in Baton Rouge, LA and is specialized in Medical. Kelly Liner Duke practices in Gonzales, LA and has the professional credentials of PA. The NPI Number for Kelly Liner Duke is 1376522425 and holds a License No. 200058 (Louisiana).

The current practice location address for Kelly Liner Duke is 2647 S Saint Elizabeth Blvd Ste 125, Gonzales, LA and can be reached out via phone at 225-647-9675 and via fax at 225-766-2226. You can also correspond with Kelly Liner Duke through the mailing address at 5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA - 70816-6038 (mailing address contact number: 225-526-0001).

Location: 2647 S Saint Elizabeth Blvd Ste 125, Gonzales, LA, 70816-6038
person
Provider Profile Details
NPI Number
1376522425
Provider Name
Kelly Liner Duke
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2647 S Saint Elizabeth Blvd Ste 125, Gonzales, LA, 70816-6038
Phone Number
225-647-9675
Fax Number
225-766-2226
Provider Enumeration Date
01/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1581666 05 LA
200058 01 LA STATE LICENSE
055655 01 LA CDS
TPA132 01 LA STATE MEDICAL LIC
institution
Provider Business Practice Location Address Details
Address
2647 S Saint Elizabeth Blvd Ste 125
City
State
Zip
70737-5020
Phone Number
225-647-9675
Fax Number
225-766-2226
person
Provider Business Mailing Address Details
Address
2647 S Saint Elizabeth Blvd Ste 125
City
State
Zip
70737-5020
Phone Number
225-647-9675
Fax Number
225-766-2226
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
200058 (Louisiana)
Definition
Definition to come...
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