MRS. KENDALL THOMAS PILGREEN P.A.-C
NPI 1174959779
Physician Assistant in Shreveport, LA

Active since September 16, 2013
1111 LINE AVE 3RD FLOOR, TOWER 2, SHREVEPORT, LA 71101(318) 716-4610(318) 716-4690 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 23, 2017 (3 updates tracked since 2017).

About Mrs. Kendall Thomas Pilgreen P.a.-c NPPES

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

MRS. KENDALL THOMAS PILGREEN P.A.-C (NPI 1174959779) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (PA.200647) and active in the NPI registry since September 2013. She maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1174959779
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KENDALL THOMAS PILGREENCredential: P.A.-C
Location Address1111 LINE AVE 3RD FLOOR, TOWER 2Shreveport, LA 71101
Mailing Address1202 Louisiana AveShreveport, LA 71101-3910 · (318) 212-8574 · Fax (318) 212-4153
Fax(318) 716-4690
Sole ProprietorNo
Enumeration DateSeptember 16, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1174959779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in LA · PA.200647
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1111 LINE AVE 3RD FLOOR, Shreveport, LA 71101

Secondary Practice Location 1

Location 12508 Bert Kouns Industrial Loop, Suite 303Shreveport, LA 71118-3133 · Phone (318) 212-5850 · Fax (318) 212-5855

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174959779, enumerated as an "individual" on September 16, 2013.

The provider is located at 1111 LINE AVE 3RD FLOOR TOWER 2 SHREVEPORT, LA 71101 and the phone number is (318) 716-4610.

Physician Assistant with taxonomy code 363A00000X.