Individual
DR. ROBERT KYLE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18901 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-4836
(225) 924-9985
(225) 924-0884
Mailing address
6613 BRYCE CANYON DR S, GREENWELL SPRINGS, LA 70739-3159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11621R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11621R
STATE LICENSE
LA
05
—
1695467
—
LA
01
—
72-0537628
TAX ID
LA
Enumeration date
01/31/2007
Last updated
01/10/2023
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