Provider Demographics
NPI:1700180049
Name:WILLIS KNIGHTON WORK KARE
Entity Type:Organization
Organization Name:WILLIS KNIGHTON WORK KARE
Other - Org Name:WK WORK KARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:SAWRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-212-4233
Mailing Address - Street 1:2724 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71109-4635
Mailing Address - Country:US
Mailing Address - Phone:318-212-4750
Mailing Address - Fax:318-212-8409
Practice Address - Street 1:2724 GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71109-4635
Practice Address - Country:US
Practice Address - Phone:318-212-4750
Practice Address - Fax:318-212-8409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLIS KNIGHTON HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine