Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kylan Poullard

Individual provider Physician Assistant · NPI 1780268516

Kylan Poullard is a Physician Assistant in Alexandria, Louisiana. Qualified in 2021, 5 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3311 Prescott Rd Ste 415
Alexandria, LA 71301-3985
Phone: (318) 528-4455
Fax: (318) 528-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 231 Windermere Blvd, Alexandria, LA 71303-3538 — (318) 487-2020

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 327294 (LA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1780268516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Alexandria