IndividualActive
Kevin Pike, DMIN, MDIV, BCC
NPI 1033980743 · Religious Nonmedical Practitioner · Shreveport, LA
Provider details
- NPI number
- 1033980743
- Entity type
- Individual
- Primary specialty
- Religious Nonmedical PractitionerNursing Service Related Providers
- Credential
- DMIN, MDIV, BCC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 990-5142
Approximate (ZIP-level) locationGet directions
Mailing address
510 E Stoner Ave
Shreveport, LA 71101-4295
Registry dates
- Enumerated
- 2024-01-11
- Last updated
- 2024-01-11
- Certified
- 2024-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.