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WK CARE FOR KIDS CLINIC
NPI 1053607937
Pediatrics in Shreveport, LA

Active since June 20, 2011
870 OLIVE ST, SHREVEPORT, LA 71104(318) 629-0480(318) 629-0483 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wk Care For Kids Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WK CARE FOR KIDS CLINIC (NPI 1053607937) is a healthcare organization registered as a pediatrics in Shreveport, Louisiana and active in the NPI registry since June 2011. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1053607937
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWK CARE FOR KIDS CLINIC
Location Address870 OLIVE STShreveport, LA 71104-2159
Mailing Address870 Olive StShreveport, LA 71104-2159 · (318) 629-0480 · Fax (318) 629-0483
Phone(318) 629-0480
Fax(318) 629-0483
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232
Enumeration DateJune 20, 2011
Last NPPES UpdateDecember 18, 2012
✔ NPI 1053607937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

870 OLIVE ST, Shreveport, LA 71104
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Other Identifiers 1

Medicare PIN5DW48LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RATNAM BABY NAGALLA M.D
Pediatrics
870 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (318) 629-0480
IN HOME RESPIRATORY, LLC
Durable Medical Equipment & Medical Supplies
870 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (318) 797-0471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wk Care For Kids Clinic's NPI number?

The NPI number for Wk Care For Kids Clinic is 1053607937. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is Wk Care For Kids Clinic located?

Wk Care For Kids Clinic is located at 870 Olive St, Shreveport, LA 71104. The listed phone number is (318) 629-0480.

What is Wk Care For Kids Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Wk Care For Kids Clinic was last updated on December 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.