| Kay Kennedy Md And Willis-knighton Medical Center | |
|
1666 E Bert Kouns Loop Suite 220 Shreveport LA 71105-5714 | |
| (318) 212-3846 | |
| (318) 212-3849 |
| Full Name | Kay Kennedy Md And Willis-knighton Medical Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1666 E Bert Kouns Loop, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182123846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kay Kennedy Md And Willis-knighton Medical Center 1202 Louisiana Ave Shreveport LA 71101-3910 Ph: (318) 212-3846 | Kay Kennedy Md And Willis-knighton Medical Center 1666 E Bert Kouns Loop Suite 220 Shreveport LA 71105-5714 Ph: (318) 212-3846 |
| NPI Number | 1770519035 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 07/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770519035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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