Autin, Kyle James

Autin, Kyle James is an individual health care provider with primary practice located at 1202 S Tyler St , Covington LA 70433-2330. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Autin, Kyle James can be contacted via phone (985) 898-4000.

Contact Information

Primary practice address
1202 S Tyler St Covington LA 70433-2330
Phone: (985) 898-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN078142 Louisiana

Profile Details

NPI number 1891756060
LBN Legal business name Autin, Kyle James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Oct 30th, 2009 - about 15 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 1891756060 NPPES
Louisiana MEDICAID 1539228

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