KENNY KALUBABARI MSIAKII

SHREVEPORT, LA
NPI1821115932
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: LA  COC0700223)
Enumeration Date2007-03-23
Last Update Date2007-11-29
Business Address
-- KENNY KALUBABARI MSIAKII
610 MARSHALL ST SUITE #501
SHREVEPORT, LA 71101-3784
Phone number: 318-222-6656
Mailing Address
-- KENNY KALUBABARI MSIAKII
610 MARSHALL ST SUITE #501
SHREVEPORT, LA 71101-3784
Phone number: 318-222-6656