Provider Demographics
NPI:1265675193
Name:GESSFORD, AMY KATHRYN (DO)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:KATHRYN
Last Name:GESSFORD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHRISTUS SHREVEPORT-BOSSIER HIGHLANDS HOSPITAL
Mailing Address - Street 2:1453 E BURT KOUNS INDUSTRIAL LOOP
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105
Mailing Address - Country:US
Mailing Address - Phone:318-681-4500
Mailing Address - Fax:318-681-5551
Practice Address - Street 1:1453 E BERT KOUNS INDUSTRIAL LOOP
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-6800
Practice Address - Country:US
Practice Address - Phone:318-681-4500
Practice Address - Fax:318-681-5551
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA304192208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist