Organization · Type 2 NPI
KRG Bayou Wellness LLC
Health Service Clinic/Center · Lafayette, LA
NPI number
1669338109
Active
Practice location
2011 Kaliste Saloom Rd Ste D
Lafayette, LA 70508-6117
Mailing address
225 Dixon Estates Rd
Sterlington, LA 71280-3627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1669338109
KRG Bayou Wellness LLC's National Provider Identifier is 1669338109, issued on Dec 29, 2025. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Lafayette, LA. The record was last updated on Dec 29, 2025.