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WK WOMENS SPECIALISTS AT SOUTH NPI 1689087355


NPI Information

NPI: 1689087355
Provider Name: WK WOMENS SPECIALISTS AT SOUTH
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 19D2081556

Address:
2530 BERT KOUN LOOP
SUITE 112
SHREVEPORT, LA
ZIP 71118
Phone: (318) 212-5969
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WK WOMENS SPECIALISTS AT SOUTH is an obstetrics gynecology in Shreveport, LA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WK WOMENS SPECIALISTS AT SOUTH NPI is 1689087355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2530 BERT KOUN LOOP
SUITE 112
SHREVEPORT, LA
ZIP 71118-132
Phone: (318) 212-5969
Fax: (318) 212-5979

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 19D2081556 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/10/2014 and was last updated on 6/10/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

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: 5/5/2024

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