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Contact Information

KIERRA D YOUNGBLOOD
3650 LAKESIDE DR
SHREVEPORT, LA71119-6516
 Phone: 318-771-4732
 Fax: 318-771-4732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for KIERRA D YOUNGBLOOD · (Female)

NPI # 1700468691
Status Active
Credentials
Entity Individual
Enumeration date 04/21/2021
Last updated 04/21/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # RN-143657
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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