WK PEDIATRIC HEALTH & WELLNESS

SHREVEPORT, LA
NPI1063072197
Entity TypeOrganization
Authorized ContactGREG J GAVIN
Network Administrator
318-212-8951
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2019-06-20
Last Update Date2019-06-20
Business Address
WK PEDIATRIC HEALTH & WELLNESS
909 OLIVE ST
SHREVEPORT, LA 71104-2103
Phone number: 318-698-3291
Mailing Address
WK PEDIATRIC HEALTH & WELLNESS
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951