Kuquita Dodson

Individual provider Active NPI Case Manager/Care Coordinator · Baker, LA

NPI 1285247262 · NPPES record last updated Aug 28, 2020

Key facts

NPI
1285247262
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
350 Main St
Baker, LA 70714-3767
Phone
(225) 778-6783
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

350 Main St
Baker, LA 70714-3767

Mailing address

12635 Wedgewood Dr
Baker, LA 70714-4846
Phone (225) 650-8336

Other providers in Baker, LA

All providers in Baker, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.