KELLEN GLYN HODGE

FORT POLK, LA
NPI1891385787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: LA  RN115467)
Enumeration Date2021-01-25
Last Update Date2021-01-25
Business Address
Mr. KELLEN GLYN HODGE RN, CCM
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3068
Mailing Address
Mr. KELLEN GLYN HODGE RN, CCM
215 JETT RD
HORNBECK, LA 71439-1423
Phone number: 337-322-9878