Individual
DR. KIMBERLY RODRICA RAYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1297 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105-2405
(318) 865-8844
Mailing address
115 ALOYS CIR, NATCHITOCHES, LA 71457-5733
(318) 352-0826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5444
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854441
—
LA
Enumeration date
10/10/2006
Last updated
08/28/2009
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