Individual
KYLE CHASE HARGRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4920 CHURCH ST STE E, ZACHARY, LA 70791-3580
(225) 658-1808
(225) 208-7932
Mailing address
8080 BLUEBONNET BLVD, SUITE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
07129
LA
Other
Enumeration date
01/05/2013
Last updated
04/16/2025
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