Kourteni Henderson's National Provider Identifier (NPI) Details
Kourteni Henderson,
NPI: 1568958486
Enumeration Date: 2018-07-03
Last updated: 2023-01-13
Sole Proprietor: YES
Status: active
Postal Address: 2100 E 70TH ST STE A, SHREVEPORT, LA
Phone: 318-227-4999
Primary Practice Address: 2100 E 70TH ST STE A, SHREVEPORT, LA
Practice's phone: 318-227-4999