NPI 1669422796

Willis Knighton Medical Center, INC. Wk Emergency Dept Group

Organisation Emergency Medicine Physician Shreveport, LA

Practice location

Address: 2600 Greenwood Rd, Shreveport, LA 71103-3908
Phone: (318) 212-4500

Authorised official

Name: Jesse Allen
Title: Vp Ancillary Services
Phone: (318) 212-4500

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 232 (LA)

Other Emergency Medicine providers in Louisiana →

Registry record

NPI: 1669422796
Entity type: Organization
NPI issued: 11 May 2006
Record last updated: 15 Jan 2008

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.