Individual
KYLE J LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2156 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1669
(859) 341-6255
(859) 547-1197
Mailing address
2156 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1669
(859) 341-6255
(859) 547-1197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.010312
OH
208M00000X
Hospitalist Physician
Primary
02008615A
IN
208M00000X
Hospitalist Physician
04492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12131975
DOB
LA
Enumeration date
04/26/2010
Last updated
05/11/2026
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