Individual
ALLISON HAYNIE KERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8789 LINE AVE, SHREVEPORT, LA 71106-6813
(318) 865-1600
Mailing address
8789 LINE AVE, SHREVEPORT, LA 71106-6813
(318) 865-1600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7132
LA
Other
Enumeration date
09/18/2020
Last updated
04/29/2026
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