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NPI Verification

National Provider Identifier: 1205983194

Kelly James Boudreaux, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

8080 BLUEBONNET BLVD

SUITE 3000

BATON ROUGE, LA 70810

Phone: 225-766-8100

NPI Enumeration Date

January 4, 2007

NPI Number

1205983194

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry