Individual
JOHN KYLE ROPPOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7777 HENNESSY BLVD., SUITE 208, BATON ROUGE, LA 70808-4300
(225) 765-7163
Mailing address
11271 FLORIDA BLVD., APT. 213, BATON ROUGE, LA 70815-2061
(225) 278-6766
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200049
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581721
—
LA
Enumeration date
02/21/2006
Last updated
02/14/2008
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