WK PEDIATRIC INTENSIVIST is a pediatric critical care medicine pediatrics in Shreveport, LA. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. WK PEDIATRIC INTENSIVIST NPI is 1023074549. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2510 BERT KOUN LOOP RM 4003
SHREVEPORT, LA
ZIP 71118-119
Phone: (318) 212-5665
Fax: (318) 212-5698
The provider's authorized official is Greg J. Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-3868.
The enumeration date for this NPI number is 4/24/2006 and was last updated on 5/9/2018.