Individual
KENSHIA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 LINE AVE, SHREVEPORT, LA 71101
(318) 208-8908
Mailing address
512 WEDGEWOOD DR, BOSSIER CITY, LA 71111-2290
(318) 529-8061
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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