Healthcare Provider Details

I. General information

NPI: 1588536148
Provider Name (Legal Business Name): KYLE M ALAIN PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 BLUEBONNET BLVD STE 2222
BATON ROUGE LA
70810-7828
US

IV. Provider business mailing address

8080 BLUEBONNET BLVD STE 1000
BATON ROUGE LA
70810-7827
US

V. Phone/Fax

Practice location:
  • Phone: 225-924-2424
  • Fax: 225-408-7980
Mailing address:
  • Phone: 225-924-2424
  • Fax: 225-408-7980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number349238
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: