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

Kasi Lively

Individual provider Physician Assistant · NPI 1699222190

Kasi Lively is a Physician Assistant in Shreveport, Louisiana. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone: (318) 212-8527
Show map & directions

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

Additional practice locations (1)

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1699222190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESMarch 28, 2025
Certification dateMarch 27, 2025

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