Organization
BRUYNINCKX MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE BRUYNINCKX (MD)
(318) 376-2189
Entity
Organization
Contact information
Practice address
117 ELLINGTON DR, RAYVILLE, LA 71269-3632
(318) 376-2189
Mailing address
117 ELLINGTON DR, RAYVILLE, LA 71269-3632
(318) 376-2189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/30/2020
Last updated
06/17/2024
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