Individual
KATHRYN KAY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1666 E BERT KOUNS LOOP, SUITE 220, SHREVEPORT, LA 71105-5714
(318) 212-3846
(318) 212-3849
Mailing address
1666 E BERT KOUNS LOOP, SUITE 220, SHREVEPORT, LA 71105-5714
(318) 212-3846
(318) 212-3849
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
020484
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1339302
—
LA
Enumeration date
07/03/2006
Last updated
01/16/2008
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