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Organization
WK CHILDRENS HEALTH SPECIALISTS
Active
Organization
WK CHILDRENS HEALTH SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SENIOR VP FINANCE)
(318) 212-8951
Entity
Organization
Contact information
Practice address
2032 ELIZABETH AVE, SHREVEPORT, LA 71104-2123
(318) 698-0035
(318) 698-0078
Mailing address
2032 ELIZABETH AVE, SHREVEPORT, LA 71104-2123
(318) 698-0035
(318) 698-0078
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0210X
Pediatric Nephrology Physician
Primary
—
NULL
2080P0210X
Pediatric Nephrology Physician
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
05/06/2024
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