Pontiff, Kyle Jude
Pontiff, Kyle Jude is an individual health care provider with primary practice located at 8200 Constantin Blvd Fl 1 , Baton Rouge LA 70809-3481. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Pontiff, Kyle Jude can be contacted via phone (225) 765-5500.Contact Information
Primary practice address
8200 Constantin Blvd Fl 1
Baton Rouge LA 70809-3481
Phone: (225) 765-5500
Fax: (225) 374-0501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | GETP.200986 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 54631 | Tennessee |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 2020020214 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 207988 | Louisiana |
Profile Details
| NPI number | 1902161177 |
|---|---|
| LBN Legal business name | Pontiff, Kyle Jude |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2012 |
| Last updated | Aug 5th, 2021 - about 5 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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