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WK CHILDRENS HEALTH SPECIALISTS NPI 1689221020


NPI Information

NPI: 1689221020
Provider Name: WK CHILDRENS HEALTH SPECIALISTS
Classification: Pediatrics - 2080P0208X
Entity Type: Organization

Specialization: Pediatric Infectious Diseases

CLIA Number: 19D2222494

Address:
2032 ELIZABETH AVE
SHREVEPORT, LA
ZIP 71104
Phone: (318) 698-0035
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WK CHILDRENS HEALTH SPECIALISTS is a pediatric infectious diseases pediatrics in Shreveport, LA. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. WK CHILDRENS HEALTH SPECIALISTS NPI is 1689221020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2032 ELIZABETH AVE
SHREVEPORT, LA
ZIP 71104-123
Phone: (318) 698-0035
Fax: (318) 698-0078

The provider's authorized official is Mary Jane Ward .
The authorized official title is Senior Vp Finance and has the following contact phone number (318) 212-8951.

The CLIA number assigned to this NPI record is 19D2222494 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 8/21/2019.


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
12080P0208XPediatricsPediatric Infectious DiseasesYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.