Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1999
NPI: 1588701288
Practice Locations (1)
WK ACADEMIC MEDICINE CLINIC
2751 ALBERT L BICKNELL DR, SUITE 2D
SHREVEPORT, LA 711033939
3182124232
Source: CMS National Downloadable File, September 2026.