WK KINNEBREW AND JOHNSON CLINIC

SHREVEPORT, LA
NPI1902085186
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-10-24
Last Update Date2012-06-08
Business Address
WK KINNEBREW AND JOHNSON CLINIC
2508 BERT KOUNS LOOP STE 102
SHREVEPORT, LA 71118-3175
Phone number: 318-688-6630
Mailing Address
WK KINNEBREW AND JOHNSON CLINIC
2508 BERT KOUNS LOOP STE 102
SHREVEPORT, LA 71118-3175
Phone number: 318-688-6630
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