Kelly James Boudreaux in Baton Rouge - Urology

Kelly James Boudreaux - NPI 1205983194

Kelly James Boudreaux is a Urology in Baton Rouge, Louisiana. Kelly James Boudreaux practices all healthcare services and medical treatments related to Urology. The NPI Number for Kelly James Boudreaux is 1205983194. The last update date is 2010-08-26.

Kelly James Boudreaux's current location address is 8080 Bluebonnet Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2257668100 and fax number 2254086896. The mailing address for Kelly James Boudreaux is 8080 Bluebonnet Blvd, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly James Boudreaux
Address 8080 Bluebonnet Blvd, Baton Rouge, Louisiana
Phone Number 2257668100
Fax Number 2254086896
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1205983194
Provider Enumeration Date 2007-01-04
Last Updated Date 2010-08-26

Provider Mailing Address Detail

Address 8080 Bluebonnet Blvd
City Baton Rouge
State Louisiana (LA)
Post Code 70810
Phone Number 2257668100
Fax Number 2254086896

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 203731
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

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FAQs about Kelly James Boudreaux

What is the unique 10-digit identification code assigned to Kelly James Boudreaux by the Centers for Medicare & Medicaid Services?

The Kelly James Boudreaux has been issued the NPI (National Provider Identifier) 1205983194, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kelly James Boudreaux's physical address?

The Kelly James Boudreaux is physically located at 8080 Bluebonnet Blvd, in the city of Baton Rouge, LA, with the postal code 70810.

What is Kelly James Boudreaux's area of expertise and its corresponding taxonomy classification?

The Kelly James Boudreaux's field of specialization is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1205983194 to Kelly James Boudreaux?

The Centers for Medicare & Medicaid Services originally issued the 1205983194 to Kelly James Boudreaux on 2007-01-04.

When was the Kelly James Boudreaux's information last updated?

The Kelly James Boudreaux's information was last updated on 2010-08-26.

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