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Contact Information

KYLE V ACOSTA, MD
200 GREENBRIAR BLVD
SUITE B
COVINGTON, LA70433-7235
 Phone: 985-898-2001
 Fax: 985-898-2909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KYLE V ACOSTA · (Male)

NPI # 1518959154
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 05/05/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 020533
  • LA Medicaid 1661431
Hospital affiliation(s)
  • FAIRWAY MEDICAL CENTER - (Acute Care)
    67252 INDUSTRY LANE
    COVINGTON, LA 70433
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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