Debra Kennon, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Debra Kennon is licensed to practice in * (Not Available) (license number ) and her current practice location is
1301 Youree Dr, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 675-0804.
NPI number for Debra Kennon is 1780054924 and her current mailing address is 1000 Chinaberry Dr Ste 900, Bossier City, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780054924.
Healthcare Provider's Profile
Full Name | Debra Kennon |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 1301 Youree Dr, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780054924
- Provider Enumeration Date: 09/30/2015
- Last Update Date: 07/02/2019
Medical Identifiers
Medical identifiers for Debra Kennon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780054924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Debra Kennon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Debra Kennon, 1000 Chinaberry Dr Ste 900, Bossier City, LA 71111-2455 Ph: (318) 742-3408 | Debra Kennon, 1301 Youree Dr, Shreveport, LA 71101-5117 Ph: (318) 675-0804 |
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