| Kd Wellness Center Llc | |
|
4946 Northwood West Rd Shreveport LA 71107-9278 | |
| (318) 564-2330 | |
| Not Available |
| Full Name | Kd Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4946 Northwood West Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Marnitta Demming (OWNER) |
| Authorized Official Contact | 3185642330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kd Wellness Center Llc 4830 Line Ave # 124 Shreveport LA 71106-1530 Ph: (318) 564-2330 | Kd Wellness Center Llc 4946 Northwood West Rd Shreveport LA 71107-9278 Ph: (318) 564-2330 |
| NPI Number | 1093530370 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093530370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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