Dr. Kevin Carlisle, MD
Family Medicine in Rayville, LA. Individual provider (NPI-1).
NPI number1326337635
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1326337635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Carlisle
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2011
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 205941 | LA | Yes |
Practice location
256 Highway 3048Rayville, LA 71269-3624
Phone 318-728-2046 · Fax 318-728-9371
Mailing address
256 Highway 3048Rayville, LA 71269-3624
Phone 318-728-2046 · Fax 318-728-9371
Other practice locations
1012 Louisa St
Rayville, LA 71269-2957
Rayville, LA 71269-2957
Phone 318-728-2046 · Fax 318-728-9371
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