WK COMMUNITY HEALTH CLINIC NPI 1558393371

NPI Information

WK COMMUNITY HEALTH CLINIC is a family medicine in Shreveport, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WK COMMUNITY HEALTH CLINIC NPI is 1558393371. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4700 SHREVEPORT BLANCHARD HWY
SHREVEPORT, LA
ZIP 71107-702
Phone: (318) 221-1001
Fax: (318) 221-1044

The provider's authorized official is Greg J Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 221-1001.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 6/8/2012.

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:

Other Identifiers

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