Organization
KD HEALTH & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEDRA NEWTON FNP (NURSE PRACTITIONER)
(225) 718-2190
Entity
Organization
Contact information
Practice address
118 JJJ LN, SIMMESPORT, LA 71369-2180
(318) 941-5287
(318) 941-5284
Mailing address
118 JJJ LN, SIMMESPORT, LA 71369-2180
(318) 941-5287
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-3892
MEDICARE RURAL HEALTH CCN
LA
Enumeration date
06/26/2007
Last updated
09/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us