Kenneth Charles Dean, COTA/L in Shreveport, LA - Occupational Therapist

Kenneth Charles Dean, COTA/L is a Occupational Therapist - Gerontology based in Shreveport, Louisiana. Kenneth Charles Dean is licensed to practice in Texas (license number 214817) and his current practice location is 8924 Bayonne Dr, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at (318) 294-1952.

NPI number for Kenneth Charles Dean is 1184188435 and his current mailing address is 127 W Broad St, Lake Charles, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184188435.

Contact Information

	Kenneth Charles Dean, COTA/L
	8924 Bayonne Dr, Shreveport, LA 71118-2033
	(318) 294-1952
	Not Available

Healthcare Provider's Profile

Full Name	Kenneth Charles Dean
Gender	Male
Speciality	Occupational Therapist - Gerontology
Location	8924 Bayonne Dr, Shreveport, Louisiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1184188435
Provider Enumeration Date: 01/30/2019
Last Update Date: 01/30/2019

Medical Identifiers

Medical identifiers for Kenneth Charles Dean such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184188435	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XG0600X	Occupational Therapist - Gerontology	214817 (Texas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Charles Dean is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenneth Charles Dean, COTA/L 127 W Broad St, Lake Charles, LA 70601-4393 Ph: () -	Kenneth Charles Dean, COTA/L 8924 Bayonne Dr, Shreveport, LA 71118-2033 Ph: (318) 294-1952

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Kenneth Charles Dean, COTA/L - Occupational Therapist in Shreveport, LA