Individual
KANISHA A MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301-3432
(318) 473-4328
(318) 473-4329
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(318) 541-6326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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