Individual provider · Type 1 NPI

Kellie Mandygo

Community Health Worker · Shreveport, LA

NPI number 1720520752 Active

Practice location

3341 Youree Dr
Shreveport, LA 71105-2149

Call (318) 219-4167 Map

Fax (318) 219-4834

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1720520752

Kellie Mandygo's National Provider Identifier is 1720520752, issued on Nov 8, 2016. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 24, 2019.