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 |
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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 |
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Provider Enumeration Date | 2007-01-04 |
Last Updated Date | 2010-08-26 |
Provider Mailing Address Detail
Address | 8080 Bluebonnet Blvd |
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City | Baton Rouge |
State | Louisiana (LA) |
Post Code | 70810 |
Phone Number | 2257668100 |
Fax Number | 2254086896 |
Provider's Primary Taxonomy Detail
Speciality | Urology |
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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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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.
NPI Number: 1699778829
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