Fires, Kendra

Fires, Kendra is an individual health care provider with primary practice located at 3341 Youree Dr Ste 205 , Shreveport LA 71105-2149. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Fires, Kendra can be contacted via phone (318) 219-4167.

Contact Information

Primary practice address
3341 Youree Dr Ste 205 Shreveport LA 71105-2149
Phone: (318) 219-4167
Fax: (318) 219-4834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1629587746
LBN Legal business name Fires, Kendra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Sep 20th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629587746 NPPES
Louisiana MEDICAID 1255606224

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