Bruyninckx, Kyle

Bruyninckx, Kyle is an individual health care provider with primary practice located at 111 Ellington Dr , Rayville LA 71269-3632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bruyninckx, Kyle can be contacted via phone (318) 661-0220.

Contact Information

Primary practice address
111 Ellington Dr Rayville LA 71269-3632
Phone: (318) 661-0220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD203484 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD203484 Louisiana

Profile Details

NPI number 1972770378
LBN Legal business name Bruyninckx, Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Feb 9th, 2021 - about 4 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 1972770378 NPPES
Louisiana MEDICAID 1052558

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