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Willis Knighton Medical Center, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Shreveport, Louisiana
NPI 1003020579

Willis Knighton Medical Center, Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Shreveport, LA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Willis Knighton Medical Center, Inc. practices in Shreveport, LA. The NPI Number for Willis Knighton Medical Center, Inc. is 1003020579 and holds a License No. (Louisiana).

The current practice location address for Willis Knighton Medical Center, Inc. is 1111 Line Avenue, Shreveport, LA and can be reached out via phone at 318-212-4759.

Location: 1111 Line Avenue, Shreveport, LA, 71103-3908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003020579
Provider Name
Willis Knighton Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
1111 Line Avenue, Shreveport, LA, 71103-3908
Phone Number
318-212-4759
Fax Number
Provider Enumeration Date
05/10/2007
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
1111 Line Avenue
City
Shreveport
State
Louisiana
Zip
71101
Phone Number
318-212-4759
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Line Avenue
City
Shreveport
State
Louisiana
Zip
71101
Phone Number
318-212-4759
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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