SearchLouisianaCase Manager/Care Coordinator

Kenneth Deruise

NPI 1902374473 · on the registry since 2018 · sole proprietor

Practice

Address
2248 Country Club Dr
La Place, LA 70068
Phone
(504) 373-0165
Fax
(985) 233-4046

Registry record

Primary taxonomy
Case Manager/Care Coordinator
171M00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-11-02

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