Individual provider · Type 1 NPI

Kendrick Dequan White

Driver · Bossier City, LA

NPI number 1871108456 Active

Practice location

2285 Benton Rd Ste 202
Bossier City, LA 71111-7933

Call (318) 268-4608 Map

Mailing address

559 Chinquipin Dr
Bossier City, LA 71111-5176

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1871108456

Kendrick Dequan White's National Provider Identifier is 1871108456, issued on Sep 10, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bossier City, LA. The record was last updated on Sep 10, 2020.