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MRS. KELLY ANN WALLS LPN
NPI 1013114842
Licensed Practical Nurse in Shreveport, LA

Active since June 27, 2007
510 E STONER AVE, SHREVEPORT, LA 71101(318) 221-8411 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Ann Walls Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY ANN WALLS LPN (NPI 1013114842) is an individual licensed practical nurse in Shreveport, Louisiana, licensed in Louisiana (270221) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1013114842
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KELLY ANN WALLSCredential: LPN
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address222 Country Club DrBenton, LA 71006-9463 · (318) 965-4798
Phone(318) 221-8411
Sole ProprietorNo
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013114842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in LA · 270221
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
510 E STONER AVE, Shreveport, LA 71101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MS. SHANNON RENEE GULLY FNP
Nurse Practitioner (Family)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Walls's NPI number?

The NPI number for Kelly Walls is 1013114842. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Kelly Walls located?

Kelly Walls practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (318) 221-8411.

What is Kelly Walls's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Walls was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.