WK KINNEBREW AND JOHNSON CLINIC
NPI 1902085186
Family Medicine in Shreveport, LA

Q: What is Wk Kinnebrew And Johnson Clinic's NPI number?

The NPI number for Wk Kinnebrew And Johnson Clinic is 1902085186. It was assigned to this organization in the NPPES registry on October 24, 2007.

Q: What is Wk Kinnebrew And Johnson Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 24, 2007

2508 BERT KOUNS LOOP STE 102, SHREVEPORT, LA 71118(318) 688-6630(318) 688-6014 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Wk Kinnebrew And Johnson Clinic NPPES

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

WK KINNEBREW AND JOHNSON CLINIC (NPI 1902085186) is a healthcare organization registered as a family medicine in Shreveport, Louisiana and active in the NPI registry since October 2007. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1902085186

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWK KINNEBREW AND JOHNSON CLINIC

Location Address2508 BERT KOUNS LOOP STE 102Shreveport, LA 71118-3175

Mailing Address2508 Bert Kouns Loop Ste 102Shreveport, LA 71118-3175 · (318) 688-6630 · Fax (318) 688-6014

Phone(318) 688-6630

Fax(318) 688-6014

Organization SubpartNo

Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232

Enumeration DateOctober 24, 2007

Last NPPES UpdateJune 8, 2012

✔ NPI 1902085186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2508 BERT KOUNS LOOP STE 102, Shreveport, LA 71118

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN5BD08LA

Medicaid1021652LA

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

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 Kinnebrew And Johnson Clinic's NPI number?

The NPI number for Wk Kinnebrew And Johnson Clinic is 1902085186. It was assigned to this organization in the NPPES registry on October 24, 2007.

Where is Wk Kinnebrew And Johnson Clinic located?

Wk Kinnebrew And Johnson Clinic is located at 2508 Bert Kouns Loop Ste 102, Shreveport, LA 71118. The listed phone number is (318) 688-6630.

What is Wk Kinnebrew And Johnson Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wk Kinnebrew And Johnson Clinic was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.