Individual
KYLE ITTMANN HAPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 205, KENNER, LA 70065-2489
(504) 412-1705
(504) 412-1702
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
(504) 412-1835
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
13482R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02928221
—
MS
05
—
1421006
—
LA
Enumeration date
07/25/2006
Last updated
08/08/2012
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