# WK CHILDRENS HEALTH SPECIALISTS

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

## Provider details

- **NPI number:** 1689221020
- **Authorized official:** MARY JANE WARD (SENIOR VP FINANCE)
- **Authorized official phone:** (318) 212-8951

## Contact information

- **Practice address:** 2032 ELIZABETH AVE, SHREVEPORT, LA 71104-2123
- **Practice address phone:** (318) 698-0035
- **Practice address fax:** (318) 698-0078
- **Mailing address:** 2032 ELIZABETH AVE, SHREVEPORT, LA 71104-2123
- **Mailing address phone:** (318) 698-0035
- **Mailing address fax:** (318) 698-0078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | — |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | Yes |
| 2080P0210X | Pediatric Nephrology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 05/06/2024