Provider Demographics
NPI:1326295239
Name:MECHE, KENDRA B (NP)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:B
Last Name:MECHE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:PO BOX 123594 DEPT 3594
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75312-0001
Mailing Address - Country:US
Mailing Address - Phone:337-494-2921
Mailing Address - Fax:337-494-6523
Practice Address - Street 1:4345 NELSON RD STE 102
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-4183
Practice Address - Country:US
Practice Address - Phone:337-480-7900
Practice Address - Fax:337-602-6358
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2022-04-28
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Provider Licenses
StateLicense IDTaxonomies
LA99304-5479363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2339711Medicaid
LAAP05479OtherSTATE LICENSE