Provider Demographics
NPI:1780049494
Name:LINDOW, KYLE D (DPM)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:D
Last Name:LINDOW
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:1169 HIGHWAY 19 STE B
Mailing Address - Street 2:
Mailing Address - City:SLAUGHTER
Mailing Address - State:LA
Mailing Address - Zip Code:70777-3404
Mailing Address - Country:US
Mailing Address - Phone:225-513-7155
Mailing Address - Fax:225-250-1407
Practice Address - Street 1:1169 HIGHWAY 19 STE B
Practice Address - Street 2:
Practice Address - City:SLAUGHTER
Practice Address - State:LA
Practice Address - Zip Code:70777-3404
Practice Address - Country:US
Practice Address - Phone:225-513-7155
Practice Address - Fax:225-250-1407
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA308250213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery