Ketra Fuller
Ketra Fuller is a Case Manager/Care Coordinator in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2017.
- Licensed in
- LA
- In the registry since
- 2017
Practice location Address checks out
4718 Hearne AveShreveport, LA 71108
Phone: (318) 828-1521
Fax: (800) 795-6388
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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 | 1457879470 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 30, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | October 12, 2020 |
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