KATHLEEN PORTER NP AND WILLIS-KNIGHTON MEDICAL CENTER

SHREVEPORT, LA
NPI1588692180
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-3787
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2006-06-30
Last Update Date2008-06-13
Business Address
KATHLEEN PORTER NP AND WILLIS-KNIGHTON MEDICAL CENTER
8001 YOUREE DR SUITE 650
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3787
Mailing Address
KATHLEEN PORTER NP AND WILLIS-KNIGHTON MEDICAL CENTER
8001 YOUREE DR SUITE 650
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3787
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