Individual
KYLE PATRICK PFEFFERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3113 GRAND WAY AVE, BATON ROUGE, LA 70810-0422
(225) 328-0697
Mailing address
3113 GRAND WAY AVE, BATON ROUGE, LA 70810-0422
(225) 328-0697
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
300658
LA
Other
Enumeration date
04/16/2014
Last updated
05/13/2016
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