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NPI Code Detail

MEDICARE: KYLE PINER DPM

MEDICARE: KYLE PINER DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist344679LA

General Provider Information

NPI Number : 1326530924
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE PINER DPM
Provider Business Mailing Address
First Line : 290 BOWIE RD
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-6712
Country : US
Telephone Number : 985-493-4990
Fax Number : 998-549-3499
Provider Business Practice Location Address
First Line : 290 BOWIE RD
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-6712
Country : US
Telephone Number : 985-493-4990
Fax Number : 998-549-3499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2018
Last Update Date : 03/09/2026

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Directions to “ KYLE PINER DPM” Practice Location

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