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Individual

KYLE LANCE CAULFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-1475
(985) 542-6251
(985) 345-2386
Mailing address
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-1475
(985) 542-6251
(985) 345-2386

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
014722
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1312622
LA
01
2705920003
CIGNA OF LA
LA
01
4250494
AETNA US HEALTHCARE
LA
Enumeration date
07/13/2005
Last updated
04/30/2008
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