Organization · Type 2 NPI
Willis Knighton Medical Center, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Shreveport, LA
NPI number
1003020579
Active
Practice location
1111 Line Avenue
Shreveport, LA 71101
Mailing address
2600 Greenwood Rd
Shreveport, LA 71103-3908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1003020579
Willis Knighton Medical Center, Inc.'s National Provider Identifier is 1003020579, issued on May 10, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Shreveport, LA. The record was last updated on Jan 8, 2025.