Individual
KEVIN CHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
463 ASHLEY RIDGE BLVD, SUITE 200, SHREVEPORT, LA 71106
(318) 221-3584
(318) 675-5069
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0564
(318) 675-5069
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
337189
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/15/2023
Last updated
06/30/2023
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