Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLEN GLYN HODGE, RN, CCM
ActiveCase Management Nurse · FORT POLK, LA
Registration Details
- NPI Number
- 1891385787
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2021 (5.2365511704356 yrs)
- Last Updated
- Jan 25, 2021
- License
-
RN115467 (LA)
Practice Information
- Address
-
1585 3RD STFORT POLK, LA, 714595102Browse LA providers · Browse ZIP 71459
- Phone
- 3375313068
- Fax
- 3375313428
- Primary Specialty
-
Case Management Nurse
163WC0400X
Other Case Management Nurse Providers in FORT POLK, LA
| Name | Credential | NPI |
|---|---|---|
| PAUL SWINDLE JR. | RN, CCM | 1386234631 |
| JULIANNE KOSSMAN | RN/CCM | 1629668991 |
| KRISTY RENEE MCCOMIC | RN | 1114517406 |
| CAROLYN DELRIE | RN | 1679165567 |
| MR. FLAVIUS LEROY ALLIGOOD II | NURSE CASE MANAGER | 1831853076 |
| MRS. KATRINA LYNN SHORES | RN/NCM | 1073272779 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.