Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Nicole Kennedy, MASTEREDLEVEL

Individual provider Case Manager/Care Coordinator · NPI 1831795764

Ebony Nicole Kennedy, MASTEREDLEVEL is a Case Manager/Care Coordinator in Lake Charles, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1639 Ryan St
Lake Charles, LA 70601-5948
Phone: (985) 360-6199
Fax: (337) 602-6392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1831795764
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTEREDLEVEL
Sole proprietorYes
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020

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