NPI 1003549304

Kevin Boudinot

Practitioner Critical Care Registered Respiratory Therapist Fort Defiance, AZ

Practice location

Address: Corner of Routes N12 & N7, Fort Defiance, AZ 86504
Phone: (928) 729-8000
Mailing address: 4141 W Bradshaw Creek Ln, Phoenix, AZ 85087-5811

Registered specialties

Critical Care Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2279C0205X Licence 044405 (AZ)

Other Respiratory Therapist, Registered providers in Arizona →

Registry record

NPI: 1003549304
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2022
Record last updated: 5 Jul 2022

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.