KERRI LUCKEN TYNES P.A.
NPI 1104004720
Physician Assistant - Medical in Bossier City, LA

Active since February 06, 2008
2300 HOSPITAL DR, SUITE 450, BOSSIER CITY, LA 71111(318) 752-2328(318) 746-0160 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kerri Lucken Tynes P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRI LUCKEN TYNES P.A. (NPI 1104004720) is an individual medical provider in Bossier City, Louisiana, licensed in Louisiana (A10314) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1104004720
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKERRI LUCKEN TYNESCredential: P.A.
Location Address2300 HOSPITAL DR, SUITE 450Bossier City, LA 71111-2394
Mailing Address2727 Hearne Ave, Suite 301Shreveport, LA 71103-3931 · (318) 631-6400 · Fax (318) 631-0300
Fax(318) 746-0160
Sole ProprietorNo
Enumeration DateFebruary 6, 2008
NPI 1104004720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in LA · A10314
2300 HOSPITAL DR, Bossier City, LA 71111

Other Identifiers 1

Medicare UPINS63026LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Ophthalmology
2300 HOSPITAL DR, SUITE 300
BOSSIER CITY, LA 71111
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Internal Medicine
2300 HOSPITAL DR, SUITE 320
BOSSIER CITY, LA 71111
Nurse Practitioner (Family)
2300 HOSPITAL DR, SUITE 330
BOSSIER CITY, LA 71111
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerri Tynes's NPI number?

The NPI number for Kerri Tynes is 1104004720. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Where is Kerri Tynes located?

Kerri Tynes practices at 2300 Hospital Dr Suite 450, Bossier City, LA 71111. The listed phone number is (318) 752-2328.

What is Kerri Tynes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kerri Tynes was last updated on February 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.