Organization
JOHN S KILPATRICK MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STEPHEN KILPATRICK MD (PRESIDENT)
(318) 216-3040
Entity
Organization
Contact information
Practice address
745 OLIVE ST STE 207, SHREVEPORT, LA 71104-2250
(318) 216-3040
(318) 216-3614
Mailing address
745 OLIVE ST STE 207, SHREVEPORT, LA 71104-2250
(318) 216-3040
(318) 216-3614
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
015694
LA
Other
Enumeration date
09/17/2015
Last updated
09/07/2023
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