Individual provider · Type 1 NPI

Kasi Lively

Student in an Organized Health Care Education/Training Program · Shreveport, LA

NPI number 1699222190 Active

Practice location

2600 Greenwood Rd
Shreveport, LA 71103-3908

Call (318) 212-8527 Map

Mailing address

2751 Albert L Bicknell Dr Ste 3D
Shreveport, LA 71103-3941

Other practice locations

  • 2751 Albert L Bicknell Dr Ste 3D, Shreveport, LA 71103-3941 · (318) 212-6710

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699222190

Kasi Lively's National Provider Identifier is 1699222190, issued on Sep 1, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 28, 2025.