Organization
LOUISIANA NEUROLOGIC CLINIC AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRZYSZTOF K KUNDO MD (OWNER)
(318) 797-5400
Entity
Organization
Contact information
Practice address
1666 E BERT KOUNS LOOP, SUITE 140, SHREVEPORT, LA 71105-5714
(318) 797-5400
(318) 797-5405
Mailing address
1666 E BERT KOUNS LOOP, SUITE 140, SHREVEPORT, LA 71105-5714
(318) 797-5400
(318) 797-5405
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1661970
—
LA
Enumeration date
08/18/2005
Last updated
07/21/2022
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