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Individual

KYLE ANDREW MAYFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2219 LINE AVE, SHREVEPORT, LA 71104-2128
(318) 828-1517
(318) 828-1685
Mailing address
2219 LINE AVE, SHREVEPORT, LA 71104-2128
(318) 828-1517
(318) 828-1685

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1950
LA

Other

Enumeration date
05/03/2022
Last updated
02/15/2025
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