Kerry Thomas Thibodeaux in Opelousas - Surgery
Kerry Thomas Thibodeaux - NPI 1093774192
Kerry Thomas Thibodeaux is a Surgery in Opelousas, Louisiana. Kerry Thomas Thibodeaux practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kerry Thomas Thibodeaux is 1093774192. The last update date is 2007-07-08.
Kerry Thomas Thibodeaux's current location address is 1270 Attakapas Dr, Opelousas, Louisiana. You can contact this provider via phone number 3379484362 and fax number 3379426523. The mailing address for Kerry Thomas Thibodeaux is 1270 Attakapas Dr, Opelousas, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Thomas Thibodeaux |
|---|---|
| Address | 1270 Attakapas Dr, Opelousas, Louisiana |
| Phone Number | 3379484362 |
| Fax Number | 3379426523 |
| Sole Proprietor | X |
| Credentials | MD FACS |
NPI Number Detail
| NPI Number | 1093774192 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1270 Attakapas Dr |
|---|---|
| City | Opelousas |
| State | Louisiana (LA) |
| Post Code | 705706549 |
| Phone Number | 3379484362 |
| Fax Number | 3379426523 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 19158 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1374105 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kerry Thomas Thibodeaux?
The Kerry Thomas Thibodeaux has been issued the NPI (National Provider Identifier) 1093774192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Kerry Thomas Thibodeaux is geographically located?
The Kerry Thomas Thibodeaux is physically situated at the following location: 1270 Attakapas Dr, Opelousas, LA, 705706549.
What is Kerry Thomas Thibodeaux's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kerry Thomas Thibodeaux is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093774192 to Kerry Thomas Thibodeaux?
The Centers for Medicare & Medicaid Services originally issued the 1093774192 to Kerry Thomas Thibodeaux on 2006-03-20.
As of what date were the Kerry Thomas Thibodeaux's details last updated?
The information pertaining to the Kerry Thomas Thibodeaux, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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