Individual
KYLE ROBERT INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY. CT8, NEW ORLEANS, LA 70121
(504) 842-3000
Mailing address
1514 JEFFERSON HWY CT8, NEW ORLEANS, LA 70121
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
306795
LA
Other
Enumeration date
05/06/2015
Last updated
07/21/2022
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