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1598700130
PHILIP KINNEBREW, MD AND WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1598700130
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-688-6630
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-06-18
Last Update Date
2007-10-02
Business Address
PHILIP KINNEBREW, MD AND WILLIS-KNIGHTON MEDICAL CENTER
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-688-6630
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Mailing Address
PHILIP KINNEBREW, MD AND WILLIS-KNIGHTON MEDICAL CENTER
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-688-6630
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