Organization
KEITH R. KYLER, D.D.S., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH RAY KYLER D.D.S. (PRESIDENT)
(225) 292-8010
Entity
Organization
Contact information
Practice address
11964 COURSEY BLVD, BATON ROUGE, LA 70816-4405
(225) 292-8010
(225) 291-6341
Mailing address
11964 COURSEY BLVD, BATON ROUGE, LA 70816-4405
(225) 292-8010
(225) 291-6341
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4362
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843628
—
LA
Enumeration date
01/26/2009
Last updated
01/26/2009
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