Individual provider · Type 1 NPI
Kevin Lee Pike, DMIN, MDIV, BCC
Religious Nonmedical Practitioner · Shreveport, LA
NPI number
1033980743
Active
Practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
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About NPI 1033980743
Kevin Lee Pike, DMIN, MDIV, BCC's National Provider Identifier is 1033980743, issued on Jan 11, 2024. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Shreveport, LA. The record was last updated on Jan 11, 2024.