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WK SHREVEPORT SLEEP MEDICINE NPI 1992236152


NPI Information

NPI: 1992236152
Provider Name: WK SHREVEPORT SLEEP MEDICINE
Classification: Family Medicine - 207QS1201X
Entity Type: Organization

Specialization: Sleep Medicine

CLIA Number: 19D2294096

Address:
1666 E BERT KOUN LOOP
SUITE 230
SHREVEPORT, LA
ZIP 71105
Phone: (318) 212-8780
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WK SHREVEPORT SLEEP MEDICINE is a sleep medicine family medicine in Shreveport, LA. The provider is a Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. WK SHREVEPORT SLEEP MEDICINE NPI is 1992236152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1666 E BERT KOUN LOOP
SUITE 230
SHREVEPORT, LA
ZIP 71105-714
Phone: (318) 212-8780
Fax: (318) 212-6752

The provider's authorized official is Greg J Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-8780.

The CLIA number assigned to this NPI record is 19D2294096 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.


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
1207QS1201XFamily MedicineSleep 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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