# GREENWELL MEDICAL CLINIC LLC DBA NORTH POINT FAMILY HEALTH

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

## Provider details

- **NPI number:** 1992896484
- **Authorized official:** DR. ROBERT KYLE DEAN MD (PHYSICIAN)
- **Authorized official phone:** (225) 924-9985

## Contact information

- **Practice address:** 18901 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-4836
- **Practice address phone:** (225) 924-9985
- **Practice address fax:** (225) 924-0884
- **Mailing address:** 18901 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-4836
- **Mailing address phone:** (225) 924-9985
- **Mailing address fax:** (225) 924-0884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 05798R | LA | — |
| 207Q00000X | Family Medicine Physician | 11621R | LA | Yes |
| 208D00000X | General Practice Physician | 10977 | LA | — |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 09/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1103039 | — | LA |
| 05 | — | 1321460 | — | LA |
| 05 | — | 1695467 | — | LA |