Mark Knackstedt
Mark Knackstedt is an Otolaryngology Physician in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2021
Practice location Address checks out
2530 Bert Kouns Industrial Loop Ste 112Shreveport, LA 71118-3153
Phone: (318) 212-3960
Fax: (318) 212-3907
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Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 352615 (LA) |
|---|
Record details
| NPI number | 1285203521 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2021 |
| Last updated in NPPES | July 10, 2026 |
| Certification date | July 10, 2026 |
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