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WK CENTER FOR PEDIATRIC GASTROENTEROLOGY NPI 1720620784


NPI Information

NPI: 1720620784
Provider Name: WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
2530 BERT KOUNS INDUSTRIAL LOOP, STE 113
SHREVEPORT, LA
ZIP 71118
Phone: (318) 212-5811
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WK CENTER FOR PEDIATRIC GASTROENTEROLOGY is a pediatric gastroenterology pediatrics in Shreveport, LA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. WK CENTER FOR PEDIATRIC GASTROENTEROLOGY NPI is 1720620784. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
2530 BERT KOUNS INDUSTRIAL LOOP, STE 113
SHREVEPORT, LA
ZIP 71118
Phone: (318) 212-5811
Fax: (318) 212-5844

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 enumeration date for this NPI number is 10/11/2019 and was last updated on 10/11/2019.


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
12080P0206XPediatricsPediatric GastroenterologyYes

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

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