Christopher Kyle Leblanc, RN
Individual provider Active NPI Registered Nurse · Rayne, LA
NPI 1467049536 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1467049536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 139061 (LA)
- Practice address
- 210 2ND St
Rayne, LA 70578-5252 - Phone
- (225) 610-0644
- NPI assigned
- Dec 23, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139061 | LA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 139061 | LA | Yes |
Addresses
Primary practice location
210 2ND St
Rayne, LA 70578-5252
Mailing address
210 2ND St
Rayne, LA 70578-5252
Other providers in Rayne, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.