Hodge, Kellen Glyn
Hodge, Kellen Glyn is an individual health care provider with primary practice located at 1585 3Rd St , Fort Polk LA 71459-5102. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Hodge, Kellen Glyn can be contacted via phone (337) 531-3068.Contact Information
Primary practice address
1585 3Rd St
Fort Polk LA 71459-5102
Phone: (337) 531-3068
Fax: (337) 531-3428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | RN115467 | Louisiana |
Profile Details
| NPI number | 1891385787 |
|---|---|
| LBN Legal business name | Hodge, Kellen Glyn |
| Credentials | RN, CCM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2021 |
| Last updated | Jan 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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