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Individual

MRS. KENDALL THOMAS PILGREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
1111 LINE AVE 3RD FLOOR, TOWER 2, SHREVEPORT, LA 71101
(318) 716-4610
(318) 716-4690
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8574
(318) 212-4153

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200647
LA

Other

Enumeration date
09/16/2013
Last updated
07/21/2022
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