Individual
MR. KASEY L. GUICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5361
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5361
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
237584
LA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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