Search › Louisiana › 171M00000X
Ketra Fuller
NPI 1457879470 · on the registry since 2017
Practice
- Address
- 4718 Hearne Ave
Shreveport, LA 71108 - Phone
- (318) 828-1521
- Fax
- (800) 795-6388
- Organisation at this address
- A Touch Of Mercy, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana