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Contact Information

WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
2530 BERT KOUNS INDUSTRIAL LOOP, STE 113
SHREVEPORT, LA71118
 Phone: 318-212-5811
 Fax: 318-212-5844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WK CENTER FOR PEDIATRIC GASTROENTEROLOGY · (Female)

NPI Number 1720620784
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2019
Last updated 10/11/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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