Individual
CHASE KYLEN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 YOUREE DR STE 120A, SHREVEPORT, LA 71104-3667
(318) 562-3707
(318) 483-6137
Mailing address
2800 YOUREE DR STE 120A, SHREVEPORT, LA 71104-3667
(318) 483-6137
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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