Doctor Name: | DR. KYLE ANTHONY DAIGLE |
NPI Number: | 1871866756 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 11964 |
Business Practice Address: | 313 Alamo Street Suite B Lake Charles, LA - 706018528 |
Business Phone Number: | 3375290653 |
Business Fax Number: | 3373121490 |
Mailing Address: | Po Box 4610, LAKE CHARLES |
State: | LA |
Postal Code: | 706064610 |
Phone Number: | 3375290653 |
Fax Number: | 3373121490 |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 11964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |