OrganizationActive
Willis-Knighton Medical Center, Inc.
NPI 1790057735 · Obstetrics & Gynecology Physician · Shreveport, LA
Provider details
- NPI number
- 1790057735
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Willis-Knighton Medical Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Greg Gavin, Network Administrator(318) 212-4232
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2508 Bert Kouns Loop
Suite 105
Shreveport, LA 71118-3133
Phone: (318) 212-8780
Fax: (318) 212-6752
Street-level locationGet directions
Mailing address
2508 Bert Kouns Loop
Shreveport, LA 71118-3133
Other names (DBA / former)
- Doing business as
- A Wk Clinic for Women - South
Registry dates
- Enumerated
- 2012-02-07
- Last updated
- 2012-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.