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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILIP KINNEBREW, MD AND WILLIS-KNIGHTON MEDICAL CENTER

Active Organization

PHILIP KINNEBREW, MD AND WILLIS-KNIGHTON MEDICAL CENTER is a Family Medicine organization located in SHREVEPORT, Louisiana. NPI 1598700130 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHREVEPORT, LA

Registration Details

NPI Number
1598700130
Provider Type
Organization
NPI Issued
Jun 18, 2006 (20.12678425812 yrs)
Last Updated
Oct 2, 2007

Practice Information

Address
2508 BERT KOUNS LOOP
SUITE 102
SHREVEPORT, LA, 711183133
Browse LA providers · Browse ZIP 71118
Phone
3186886630
Fax
3186886014
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.