Individual
JOHN STEPHEN KILPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1327247
—
LA
Enumeration date
08/29/2006
Last updated
06/30/2020
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