Whalio Doctors

NPI 1043520968

Kcc, INC

Organisation Home Infusion Agency Shreveport, LA

Practice location

Address
8625 Line Ave STE a, Shreveport, LA 71106-6107
Phone
(318) 673-8360
Fax
(318) 673-8940
Mailing address
1501 23rd Ave, Meridian, MS 39301-4027

Authorised official

Name
Brad Gilchrist
Title
Coo
Phone
(601) 482-4003

Registered specialties (5)

Home Infusion Agency Primary
Agencies Taxonomy 251F00000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 006322-IR (LA)
Parenteral & Enteral Nutrition Supplies (DME)
Suppliers Taxonomy 332BP3500X Licence 006322-IR (LA)
Pharmacy
Suppliers Taxonomy 333600000X Licence 6322 (LA)
Home Infusion Therapy Pharmacy
Suppliers Taxonomy 3336H0001X Licence 006322-IR (LA)

Registry record

NPI
1043520968
Entity type
Organization
NPI issued
13 Oct 2010
Record last updated
28 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.