Dermatology
WK NORTH DERMATOLOGY CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1588806970 · enumerated 2009-03-31 · record updated 2013-08-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: GREG GAVIN, Network Administrator · (318) 212-4232
Addresses and phones
- Practice location 2751 ALBERT L BICKNELL DR, SUITE 2-D, SHREVEPORT, LA, 71103-3920 (318) 221-2623 Fax (318) 424-9850 Google Maps Apple Maps OpenStreetMap
- Mailing address 1202 LOUISIANA AVE, SHREVEPORT, LA, 71101-3910 (318) 221-2623 Fax (318) 424-9850 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
-
Practice location
SHREVEPORT, LA, 711033920
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.