KETRA FULLER

Case Manager/Care Coordinator

Active Individual
NPI: 1457879470

Practice Address

4718 HEARNE AVE
Shreveport, LA 71108

Phone: (318) 828-1521

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1457879470 is the National Provider Identifier for KETRA FULLER, a Case Manager/Care Coordinator provider located in Shreveport, LA. This NPI was enumerated on August 30, 2017.
KETRA FULLER practices at 4718 HEARNE AVE, Shreveport, LA 71108.

Quick Facts

NPI
1457879470
Type
Individual
Enumerated
Aug 30, 2017
Last Updated
Jul 21, 2022

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