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Contact Information

KIERRA OUEDRAOGO
2700 WALKER WAY
DESOTO, TX75115-2088
 Phone: 469-801-4500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

SNF/Subacute Care

2279S1500X
Indicates primary specialty

NPI Profile & details for KIERRA OUEDRAOGO · (Female)

NPI Number 1154150324
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2024
Last updated 07/29/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • TX License # RCP02003194
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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