IndividualActive
Kenyal Johnson
NPI 1679708473 · Home Modifications Contractor · Sorrento, LA
Provider details
- NPI number
- 1679708473
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
41186 Citadel Dr
Sorrento, LA 70778-3425
Phone: (225) 802-7542
Approximate (ZIP-level) locationGet directions
Mailing address
41186 Citadel Dr
Sorrento, LA 70778-3425
Registry dates
- Enumerated
- 2009-05-21
- Last updated
- 2009-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.