Individual provider · Type 1 NPI
Kristy Renee McComic, RN
Case Management Registered Nurse · Fort Polk, LA
NPI number
1114517406
Active
Practice location
1585 3rd Street Building 285, Attention: Credentials, Room 7064
Fort Polk, LA 71459
Mailing address
1585 3rd St Bldg 285
Fort Polk, LA 71459-5102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 070301 (LA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1114517406
Kristy Renee McComic, RN's National Provider Identifier is 1114517406, issued on Jan 21, 2021. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fort Polk, LA. The record was last updated on Jan 21, 2021.