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Individual

DR. KAYLA R FONTENOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., OBGYN

Contact information

Practice address
251 MOOSA BLVD, EUNICE, LA 70535
(337) 466-7246
(337) 466-7247
Mailing address
PO BOX 13757, BELFAST, ME 04915-4028
(337) 466-7246
(337) 466-7247

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD205158
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2106511
LA
Enumeration date
03/19/2010
Last updated
07/28/2022
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