Kite Group LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Scott, LA

NPI 1689259269 · NPPES record last updated Mar 15, 2021

Key facts

NPI
1689259269
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
KITE GROUP LLC
Practice address
913 Alfred St
Scott, LA 70583-5117
Phone
(337) 504-3697
Fax
(337) 504-2871
NPI assigned
Mar 15, 2021
Organization subpart
No

Authorized official

Name
Aylie Gray, CREDENTIALING
Title
Manager
Phone
(337) 581-5112

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

913 Alfred St
Scott, LA 70583-5117

Mailing address

203 Luce Dr
Lafayette, LA 70506-2862
Phone (337) 781-0384

Other providers in Scott, LA

All providers in Scott, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.