Provider Demographics
NPI:1326928961
Name:KINDER CLINIC LLC
Entity type:Organization
Organization Name:KINDER CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:COURVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-485-8186
Mailing Address - Street 1:266 BILLY YOUNG RD
Mailing Address - Street 2:
Mailing Address - City:SUGARTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70662-3702
Mailing Address - Country:US
Mailing Address - Phone:337-485-8186
Mailing Address - Fax:
Practice Address - Street 1:109 1ST AVE
Practice Address - Street 2:
Practice Address - City:KINDER
Practice Address - State:LA
Practice Address - Zip Code:70648-3512
Practice Address - Country:US
Practice Address - Phone:337-485-8186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty