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

Mr. Kenneth W Cornelius, MA

Individual provider Case Manager/Care Coordinator · NPI 1720453764

Mr. Kenneth W Cornelius, MA is a Case Manager/Care Coordinator in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1513 Line Ave Ste 135
Shreveport, LA 71101-4621
Phone: (318) 828-1455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X (LA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1720453764
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedDecember 2, 2015
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

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