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Contact Information

WK PEDIATRIC PULMONOLOGY SPECIALISTS
2530 BERT KOUN LOOP
SUITE 114
SHREVEPORT, LA71118-3132
 Phone: 318-212-5781
 Fax: 318-212-5785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WK PEDIATRIC PULMONOLOGY SPECIALISTS

NPI # 1376910240
LBN Legal business name WK PEDIATRIC PULMONOLOGY SPECIALISTS
Authorized official GREG GAVIN - (NETWORK ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2015
Last updated 08/27/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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