Organization
NEPHROLOGY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN STEPHEN KILPATRICK MD (DIRECTOR)
(318) 226-0809
Entity
Organization
Contact information
Practice address
745 OLIVE ST, SUITE 200, SHREVEPORT, LA 71104-2246
(318) 226-0809
(318) 226-0812
Mailing address
745 OLIVE ST, SUITE 200, SHREVEPORT, LA 71104-2246
(318) 226-0809
(318) 226-0812
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD.015694
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949442
—
LA
01
—
19D0968584
CLIA
—
Enumeration date
08/30/2006
Last updated
12/29/2011
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