NPI 1003020579

Willis Knighton Medical Center, INC.

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Shreveport, LA

Practice location

Address: 1111 Line Avenue, Shreveport, LA 71101
Phone: (318) 212-4759
Mailing address: 2600 Greenwood Rd, Shreveport, LA 71103-3908

Authorised official

Name: Mary Jane Ward
Title: Cfo
Phone: (318) 212-4384

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

Other Clinic/Center providers in Louisiana →

Registry record

NPI: 1003020579
Entity type: Organization
NPI issued: 10 May 2007
Record last updated: 8 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.