Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wk Pediatric Intensivist

Organization Pediatric Critical Care Medicine Physician · NPI 1023074549

Wk Pediatric Intensivist is a Pediatric Critical Care Medicine Physician in Shreveport, Louisiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2510 Bert Koun Loop Rm 4003
Shreveport, LA 71118-3119
Phone: (318) 212-5665
Fax: (318) 212-5698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X

Record details

NPI number1023074549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Gavin — Network Administrator · (318) 212-3868
NPI enumeratedApril 24, 2006
Last updated in NPPESMay 9, 2018
Mailing address2510 Bert Koun Loop Rm 4003, Shreveport, LA 71118-3119

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