NPI 1205983194

Kelly James Boudreaux, MD

Practitioner Urology Physician Baton Rouge, LA

Practice location

Address: 8080 Bluebonnet Blvd. Suite 3000, Baton Rouge, LA 70810
Phone: (225) 766-8100
Fax: (225) 408-6896
Mailing address: 8080 Bluebonnet Blvd Suite 3000, Baton Rouge, LA 70810

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 203731 (LA)

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Registry record

NPI: 1205983194
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2007
Record last updated: 26 Aug 2010

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.