# KD HEALTH & WELLNESS CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770789760
- **Authorized official:** DEDRA NEWTON FNP (NURSE PRACTITIONER)
- **Authorized official phone:** (225) 718-2190

## Contact information

- **Practice address:** 118 JJJ LN, SIMMESPORT, LA 71369-2180
- **Practice address phone:** (318) 941-5287
- **Practice address fax:** (318) 941-5284
- **Mailing address:** 118 JJJ LN, SIMMESPORT, LA 71369-2180
- **Mailing address phone:** (318) 941-5287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 09/17/2008