IndividualActive
Kim Edwards
NPI 1427409945 · Dental Hygienist · Fort Polk, LA
Provider details
- NPI number
- 1427409945
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1613 (LA)
Specialties & taxonomies
Dental Providers
Practice location
7223 Mississippi Avenue
Fort Polk, LA 71459
Phone: (337) 531-2121
Approximate (ZIP-level) locationGet directions
Mailing address
7223 Mississippi Avenue
Fort Polk, LA 71459
Registry dates
- Enumerated
- 2016-06-27
- Last updated
- 2016-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.