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Individual

JARED WILLIAM-KENT KUYPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5131 ODONOVAN DR # 45, BATON ROUGE, LA 70808-4791
(225) 358-4853
Mailing address
5131 ODONOVAN DR # 45, BATON ROUGE, LA 70808-4791
(225) 358-4853

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
350630
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LA

Other

Enumeration date
03/27/2023
Last updated
03/24/2026
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