Individual
DR. KIMBERLY DAWN LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
2920 KNIGHT ST, SUITE 110, SHREVEPORT, LA 71105-2412
(318) 861-7340
(318) 861-7390
Mailing address
2920 KNIGHT ST, SUITE 110, SHREVEPORT, LA 71105-2412
(318) 861-7340
(318) 861-7390
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.199987
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063100
—
LA
Enumeration date
01/28/2006
Last updated
11/09/2010
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