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Kristin Bembenick

Student in an Organized Health Care Education/Training Program in Shreveport, LA. Individual provider (NPI-1).

NPI number1003663337
StatusActive
Last updated in NPPESMay 3, 2024

Details

NPI
1003663337
Entity type
Individual (NPI-1)
Name
Kristin Bembenick
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2024
Certification date
May 3, 2024
Last updated
May 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-675-5300

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228

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