Provider Demographics
NPI:1902105703
Name:NESTER, KYLE PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:PATRICK
Last Name:NESTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4150 NELSON RD
Mailing Address - Street 2:BUILDING A SUITE 4
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-4196
Mailing Address - Country:US
Mailing Address - Phone:337-478-2124
Mailing Address - Fax:337-477-7616
Practice Address - Street 1:4150 NELSON RD
Practice Address - Street 2:BUILDING A SUITE 4
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-4196
Practice Address - Country:US
Practice Address - Phone:337-478-2124
Practice Address - Fax:337-477-7616
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD205592207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology