Individual
KYLE BUVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
653 MYRTLE DR, COVINGTON, LA 70433-8225
(985) 893-4700
Mailing address
1612 VERSAILLES BUSINESS PKWY, COVINGTON, LA 70433-6171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11436
LA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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