# KITE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952064966
- **Authorized official:** LAURA KIGHT APRN (OWNER)
- **Authorized official phone:** (337) 273-0352

## Contact information

- **Practice address:** 312 GUILBEAU RD STE 3C, LAFAYETTE, LA 70506-6953
- **Practice address phone:** (337) 273-0352
- **Practice address fax:** (318) 460-0339
- **Mailing address:** 203 LUCE DR, LAFAYETTE, LA 70506-2862
- **Mailing address phone:** (337) 781-0384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2021
- **Last updated:** 10/17/2021