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1831170984
W. PHILLIP KINNEBREW
SHREVEPORT, LA
NPI
1831170984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 016341)
Enumeration Date
2005-11-07
Last Update Date
2021-06-17
Business Address
W. PHILLIP KINNEBREW MD
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-688-6630
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Mailing Address
W. PHILLIP KINNEBREW MD
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-688-6630
Copy
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