Healthcare Provider Details

I. General information

NPI: 1720655830
Provider Name (Legal Business Name): K'S MEDICAL STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1243 CANTERBURY DR
ALEXANDRIA LA
71303-3024
US

IV. Provider business mailing address

1243 CANTERBURY DR
ALEXANDRIA LA
71303-3024
US

V. Phone/Fax

Practice location:
  • Phone: 318-228-2009
  • Fax: 888-744-7489
Mailing address:
  • Phone: 318-228-2009
  • Fax: 888-744-7489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: LASHANDA WILLIAMS
Title or Position: OWNER/LAB DIRECTOR
Credential: LPN
Phone: 318-228-2009