Individual
KYLE DAVID PLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(318) 212-3610
Mailing address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(318) 212-3610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD.46130
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD.46130
AL
Other
Enumeration date
05/29/2018
Last updated
08/20/2024
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