Individual
KRISTY M. WALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8001 YOUREE DR, SUITE 600, SHREVEPORT, LA 71115-2302
(318) 212-3890
(318) 212-3888
Mailing address
8001 YOUREE DR, SUITE 600, SHREVEPORT, LA 71115-2302
(318) 212-3890
(318) 212-3888
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
022395
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1495921
—
LA
Enumeration date
05/13/2006
Last updated
12/05/2007
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