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

Keith Alexius Wangkay, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669363040

Keith Alexius Wangkay, MD is a Student in an Organized Health Care Education/Training Program in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 675-8695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 347888 (LA)

Record details

NPI number1669363040
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 13, 2025

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