Individual
KYLE M COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 N ACADIA RD, THIBODAUX, LA 70301-4856
(985) 447-3889
(985) 446-2483
Mailing address
404 N ACADIA RD, THIBODAUX, LA 70301-4856
(985) 447-3889
(985) 446-2483
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
201271
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1090719
—
LA
Enumeration date
08/16/2006
Last updated
07/21/2022
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