Organization
WK REGIONAL PERINATAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SR VP FINANCE)
(318) 716-4939
Entity
Organization
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 210, SHREVEPORT, LA 71118-3133
(318) 212-5860
(318) 212-5865
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71118-3175
(318) 212-5860
(318) 212-5865
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115804
—
LA
Enumeration date
05/19/2009
Last updated
03/06/2026
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