Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH DERUISE
Active Sole ProprietorKENNETH DERUISE is a Case Manager healthcare provider located in LA PLACE, Louisiana. NPI 1902374473 is currently active in the NPPES registry. Verify at CMS.
Case Manager · LA PLACE, LA
Registration Details
- NPI Number
- 1902374473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2018 (7.77158939165 yrs)
- Last Updated
- Nov 2, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
2248 COUNTRY CLUB DRLA PLACE, LA, 700681818Browse LA providers · Browse ZIP 70068
- Phone
- 5043730165
- Fax
- 9852334046
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in LA PLACE, LA
| Name | Credential | NPI |
|---|---|---|
| MISS WANDA MARIE BOUDREAUX | M.A. | 1568500866 |
| MS. TAQUANA ZENO MASON | LPN | 1700061405 |
| MRS. OLIVIA PAULETTE KENDRICK BARTHOLOMEW | BS | 1457627028 |
| SEDARIUS GRAY | — | 1598159667 |
| SHELITA NKADI | — | 1821468992 |
| KIARIA BRADLEY | — | 1922463983 |
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.