| Doctor Name: | KIM FLETCHER |
| NPI Number: | 1265630727 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 1658 |
| Business Practice Address: | 10374 Highway 165 N Ste B Sterlington, LA - 712803320 |
| Business Phone Number: | 3186654543 |
| Business Fax Number: | 3186654539 |
| Mailing Address: | 10374 Highway 165 N, Ste B STERLINGTON |
| State: | LA |
| Postal Code: | 712803320 |
| Phone Number: | 3186654543 |
| Fax Number: | 3186654539 |
| NPI Enumeration Date: | 07/06/2007 |
| NPI Last Update Date: | 08/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 1658 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |