Individual
KYLE FRANCIS CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8119 PICARDY AVE, BATON ROUGE, LA 70809-3515
(225) 765-5500
(225) 214-3639
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0002
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
303515
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389289
—
LA
Enumeration date
04/10/2015
Last updated
01/05/2022
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