Healthcare Provider Details

I. General information

NPI: 1346164308
Provider Name (Legal Business Name): DEVIN KYLE LANGLEY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PLAZA PL
MINDEN LA
71055-3330
US

IV. Provider business mailing address

519 DAVIS ST
MINDEN LA
71055-2713
US

V. Phone/Fax

Practice location:
  • Phone: 940-395-0442
  • Fax:
Mailing address:
  • Phone: 940-395-0442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number208422
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: