Acosta, Kyle Valentino

Acosta, Kyle Valentino is an sole proprietor health care provider with primary practice located at 200 Greenbriar Blvd Suite B, Covington LA 70433-7235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Acosta, Kyle Valentino can be contacted via phone (985) 898-2001.

Contact Information

Primary practice address
200 Greenbriar Blvd Suite B Covington LA 70433-7235
Fax: (985) 898-2909
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 020533 Louisiana

Profile Details

NPI number 1518959154
LBN Legal business name Acosta, Kyle Valentino
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated May 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518959154 NPPES
Louisiana MEDICAID 1661431

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