Wk Pediatric Health & Wellness

NPI #1063072197 in Shreveport, Louisiana

Provider Information

NPI Number: 1063072197
Entity Type: Organization
Organization Name: Wk Pediatric Health & Wellness
Primary Specialty: Pediatrics
Enumeration Date: Jun 20, 2019
Last Updated: Jun 20, 2019

Practice Location

Address: 909 OLIVE ST
City: Shreveport
State: Louisiana
ZIP Code: 71104-2103
Phone: (318) 698-3291

Authorized Official

Name: MR. GREG J GAVIN
Title: NETWORK ADMINISTRATOR
Phone: (318) 212-8951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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