Healthcare Provider Details

I. General information

NPI: 1417897794
Provider Name (Legal Business Name): KPG SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 S CHATEAU CIR
LAKE CHARLES LA
70605-1341
US

IV. Provider business mailing address

1423 S CHATEAU CIR
LAKE CHARLES LA
70605-1341
US

V. Phone/Fax

Practice location:
  • Phone: 337-244-0414
  • Fax:
Mailing address:
  • Phone: 337-244-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN P GORHAM
Title or Position: SOLE MEMBER / OWNER
Credential: PMHNP
Phone: 337-244-0414