Individual
DR. KAYLA RENAE BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7600 FERN AVE STE 300, SHREVEPORT, LA 71105-5672
(318) 524-0700
(318) 524-0705
Mailing address
7600 FERN AVE STE 300, SHREVEPORT, LA 71105-5672
(318) 524-0700
(318) 524-0705
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5174
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1488089
UNITED CONCORDIA NONNET #
LA
Enumeration date
01/08/2007
Last updated
07/08/2007
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