NPI 1407883556

Kerry T. Thibodeaux MD Apmc

Organisation Surgery Physician Opelousas, LA

Practice location

Address: 1233 Wayne Gilmore Cirlce Suite 205b, Opelousas, LA 70570
Phone: (337) 948-4362
Fax: (337) 942-6523

Authorised official

Name: Kerry T. Thibodeaux
Title: Owner
Phone: (337) 948-4362

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 019158 (LA)

Other Surgery providers in Louisiana →

Registry record

NPI: 1407883556
Entity type: Organization
NPI issued: 26 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.