# K D WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093530370
- **Authorized official:** MS. MARNITTA DEMMING APRN (OWNER)
- **Authorized official phone:** (318) 564-2330

## Contact information

- **Practice address:** 400 TRAVIS ST STE 317, SHREVEPORT, LA 71101-3103
- **Practice address phone:** (318) 230-7458
- **Mailing address:** 400 TRAVIS ST STE 317, SHREVEPORT, LA 71101-3103
- **Mailing address phone:** (318) 230-7458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 02/25/2026