Individual
KYLIE WITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD, BATON ROUGE, LA 70808-4300
(337) 534-0952
Mailing address
7777 HENNESSY BLVD STE 211, BATON ROUGE, LA 70808-4365
(225) 765-7163
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
328270
LA
363A00000X
Physician Assistant
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—
Other
Enumeration date
05/10/2021
Last updated
04/22/2024
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