Provider Demographics
NPI:1083202022
Name:K & T INVESTMENT GROUP, LLC
Entity Type:Organization
Organization Name:K & T INVESTMENT GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBREYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDUFFIE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:318-666-4131
Mailing Address - Street 1:331 MILAM ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-5353
Mailing Address - Country:US
Mailing Address - Phone:318-666-4131
Mailing Address - Fax:318-666-4132
Practice Address - Street 1:331 MILAM ST STE 200
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-5353
Practice Address - Country:US
Practice Address - Phone:318-666-4131
Practice Address - Fax:318-666-4132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty