MEDICARE: KELCI LATCHIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1790636157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELCI LATCHIE

Provider Business Mailing Address
First Line	:	714 3RD ST
Second Line	:
City	:	NATCHITOCHES
State	:	LA
Zip	:	71457-4602
Country	:	US
Telephone Number	:	318-238-8801
Fax Number	:	318-238-8803

Provider Business Practice Location Address
First Line	:	714 3RD ST
Second Line	:
City	:	NATCHITOCHES
State	:	LA
Zip	:	71457-4602
Country	:	US
Telephone Number	:	318-238-8801
Fax Number	:	318-238-8803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ KELCI LATCHIE ” Practice Location

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