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

Mr. Kellen Glyn Hodge, RN, CCM

Individual provider Case Management Registered Nurse · NPI 1891385787

Mr. Kellen Glyn Hodge, RN, CCM is a Case Management Registered Nurse in Fort Polk, Louisiana. Licensed in Louisiana. Registered with an NPI since 2021.

Licensed in
LA
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

1585 3rd St
Fort Polk, LA 71459-5102
Phone: (337) 531-3068
Fax: (337) 531-3428
Show map & directions

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

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence RN115467 (LA)

Record details

NPI number1891385787
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , CCM
Sole proprietorNo
NPI enumeratedJanuary 25, 2021
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021

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