Russo, James Kyle

Russo, James Kyle is an individual health care provider with primary practice located at 120 Rue Louis Xiv , Lafayette LA 70508-5739. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Russo, James Kyle can be contacted via phone (337) 769-7779.

Contact Information

Primary practice address
120 Rue Louis Xiv Lafayette LA 70508-5739
Phone: (337) 769-7779
Fax: (337) 769-7788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13254 North Dakota
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD.206162 Louisiana

Profile Details

NPI number 1376700591
LBN Legal business name Russo, James Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Feb 11th, 2020 - about 6 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 1376700591 NPPES
Louisiana MEDICAID 1063363
Louisiana Other MD.206162
Louisiana MEDICAID 81183

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