| Keith R. Kyler, D.d.s., L.l.c. | |
|
11964 Coursey Blvd Baton Rouge LA 70816-4405 | |
| (225) 292-8010 | |
| (225) 291-6341 |
| Full Name | Keith R. Kyler, D.d.s., L.l.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11964 Coursey Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Keith Ray Kyler (PRESIDENT) |
| Authorized Official Contact | 2252928010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith R. Kyler, D.d.s., L.l.c. 11964 Coursey Blvd Baton Rouge LA 70816-4405 Ph: (225) 292-8010 | Keith R. Kyler, D.d.s., L.l.c. 11964 Coursey Blvd Baton Rouge LA 70816-4405 Ph: (225) 292-8010 |
| NPI Number | 1134367360 |
|---|---|
| Provider Enumeration Date | 01/26/2009 |
| Last Update Date | 01/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134367360 | NPI | - | NPPES |
| 1843628 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4362 (Louisiana) | Primary |
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