KELVIN KERON WHITE

SHREVEPORT, LA
NPI1801669551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-11-03
Last Update Date2024-02-20
Business Address
Mr. KELVIN KERON WHITE
1842 IRVING PL
SHREVEPORT, LA 71101-4608
Phone number: 318-219-3500
Mailing Address
Mr. KELVIN KERON WHITE
9990 FREEDOMS WAY
KEITHVILLE, LA 71047-9222
Phone number: 318-518-0893