Individual
KYLE MICHAEL LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
(225) 261-4493
Mailing address
13030 LOVETT RD, BATON ROUGE, LA 70818-5819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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