Kellie Mandygo

  • NPI 1720520752
According to our database, the NPI number for Kellie Mandygo is 1720520752 and activated since 7 years ago. Kellie Mandygo is an individual provider who specializes in Community Health Worker, and the primary practice location is 3341 Youree Dr, Shreveport, LA 71105. You can also contact Kellie Mandygo via telephone number is (318) 219-4167. Provider NPI information was last updated on 07/24/2019.

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Overview of Kellie Mandygo

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/08/2016
  • Last updated: 07/24/2019

Primary Scrop of Practice

  • Taxonomy Code: 172V00000X
  • Specialty: Community Health Worker
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 3341 Youree Dr
    Shreveport, LA 71105
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 3341 Youree Dr
    Shreveport, LA 71105
  • Phone: 318-219-4167
  • Fax: 318-219-4834

Scope of Practice

  • Taxonomy Code: 172V00000X
  • Specialty: Community Health Worker
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kellie Mandygo?
  • A: The npi number for Kellie Mandygo is 1720520752.
  • Q: What are Kellie Mandygo's specialties?
  • A: Kellie Mandygo's specialties are Community Health Worker and different specialities.
  • Q: What is the medical license for Kellie Mandygo?
  • A: The medical license number for Kellie Mandygo is unknow and issued in unknow in USA.
  • Q: Where is Kellie Mandygo practice location?
  • A: Kellie Mandygo is practicing at 3341 Youree Dr, Shreveport, LA 71105.
  • Q: How to contact Kellie Mandygo?
  • A: You can contact Kellie Mandygo via 318-219-4167.
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