NPI 1104004720

Kerri Lucken Tynes, PA

Practitioner Medical Physician Assistant Bossier City, LA

Practice location

Address: 2300 Hospital Dr Suite 450, Bossier City, LA 71111-2394
Phone: (318) 752-2328
Fax: (318) 746-0160
Mailing address: 2727 Hearne Ave Suite 301, Shreveport, LA 71103-3931

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence A10314 (LA)

Other Physician Assistant providers in Louisiana →

Registry record

NPI: 1104004720
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2008
Record last updated: 6 Feb 2008

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.