Individual
TYLER KENNEDY HINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1049 N PINE RD STE C, OLLA, LA 71465-4826
(318) 495-3131
Mailing address
1049 N PINE RD STE C, OLLA, LA 71465-4826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
323477
LA
Other
Enumeration date
03/27/2017
Last updated
07/07/2020
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