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WK ADULT MEDICINE SPECIALISTS NPI 1548746852


NPI Information

NPI: 1548746852
Provider Name: WK ADULT MEDICINE SPECIALISTS
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
2508 BERT KOUN LOOP STE 300
SHREVEPORT, LA
ZIP 71118
Phone: (318) 212-5757
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WK ADULT MEDICINE SPECIALISTS is an adult medicine family medicine in Shreveport, LA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. WK ADULT MEDICINE SPECIALISTS NPI is 1548746852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2508 BERT KOUN LOOP STE 300
SHREVEPORT, LA
ZIP 71118-100
Phone: (318) 212-5757
Fax: (318) 212-5779

The provider's authorized official is Greg J Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-8951.

The enumeration date for this NPI number is 7/19/2018 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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