Organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Active
Organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Active
Other names
WK Renal Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (CFO)
(318) 212-4384
Entity
Organization
Contact information
Practice address
1111 LINE AVENUE, SHREVEPORT, LA 71101
(318) 212-4759
Mailing address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
01/08/2025
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