Kenneth Deruise
Kenneth Deruise is a Case Manager/Care Coordinator in LA Place, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2018
Practice location Address checks out
2248 Country Club DrLA Place, LA 70068-1818
Phone: (504) 373-0165
Fax: (985) 233-4046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (LA) |
|---|
Record details
| NPI number | 1902374473 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2018 |
| Last updated in NPPES | November 2, 2018 |
| Mailing address | 2248 Country Club Dr, La Place, LA 70068-1818 |
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