Wyble, Keiffer Bengie

Wyble, Keiffer Bengie is an individual health care provider with primary practice located at 2730 Ambassador Caffery Pkwy , Lafayette LA 70506. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Rehabilitation. Physician Assistants & Advanced Practice Nursing Providers / Rehabilitation is his primary health care specialty. Wyble, Keiffer Bengie can be contacted via phone (337) 988-1585.

Contact Information

Primary practice address
2730 Ambassador Caffery Pkwy Lafayette LA 70506
Phone: (337) 988-1585
Fax: (337) 981-4694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP09352 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP09352 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Rehabilitation 364SR0400X AP09352 Louisiana

Profile Details

NPI number 1083067144
LBN Legal business name Wyble, Keiffer Bengie
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2016
Last updated May 30th, 2024 - about 2 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 1083067144 NPPES
Louisiana MEDICAID 2468685

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