Organization Active NPI

KDB Wealth, Inc

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1740865567
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KDB WEALTH, INC
Doing business as
COMPREHENSIVE MEDICAL CLINIC OF LOUISIANA, LLC
Practice address
333 Dr Michael Debakey Dr
Lake Charles, LA 70601-5888
Phone
(337) 721-9992
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kala Duhon
Title
Owner
Phone
(337) 721-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

333 Dr Michael Debakey Dr
Lake Charles, LA 70601-5888

Mailing address

7720 US Highway 167
Abbeville, LA 70510-2168
Phone (337) 422-6731

Other names 1

  • COMPREHENSIVE MEDICAL CLINIC OF LOUISIANA, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210517001345 LA Part B Supplier - Clinic/Group Practice 2264841584 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

333 Dr Michael Debakey Dr
Ste 250
Lake Charles, LA 70601
Phone (337) 721-9992

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715472000000",
    "number": "1740865567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 US HIGHWAY 167",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705102168",
            "telephone_number": "337-422-6731",
            "fax_number": "379-988-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015888",
            "telephone_number": "337-721-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDB WEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2024-05-12",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "DUHON",
        "authorized_official_first_name": "KALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-721-9992"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE MEDICAL CLINIC OF LOUISIANA, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.