# WK WOMENS HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124283320
- **Authorized official:** GREG J GAVIN (NETWORK ADMINISTRATOR)
- **Authorized official phone:** (318) 688-8804

## Contact information

- **Practice address:** 2508 BERT KOUNS LOOP, SUITE 201, SHREVEPORT, LA 71118-3133
- **Practice address phone:** (318) 688-8804
- **Practice address fax:** (318) 688-5473
- **Mailing address:** 2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 201, SHREVEPORT, LA 71118-3133
- **Mailing address phone:** (318) 688-8804
- **Mailing address fax:** (318) 688-5473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | LA | Yes |

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 04/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1188646 | — | LA |