Kerry Thomas Thibodeaux MD FACS

NPI 1093774192 - Surgery - 208600000X

NPI Details
NPI 1093774192
Gender Male
Enumeration Date 03/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1270 ATTAKAPAS DR
STE 202
OPELOUSAS LA, 70570-6549, US
Phone (337) 948-4362
Fax (337) 942-6523
Business Location
1270 ATTAKAPAS DR
STE 202
OPELOUSAS LA, 70570-6549, US
Phone (337) 948-4362
Fax (337) 942-6523
Toxanomy
Taxonomy Code 208600000X
License State Louisiana
License Number 019158
Remove 1093774192 NPI Number
 

According to our database, Dr. Kerry Thomas Thibodeaux MD FACS NPI is 1093774192, taxonomy code is 208600000X and license number is 019158, license state is located at Louisiana. Kerry Thomas Thibodeaux MD FACS physically located at 1270 Attakapas Dr, Opelousas LA, 70570-6549. NPI Number Kerry Thomas Thibodeaux MD FACS has the Individual type.

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1093774192 NPI number is provided on an as is basis without warranty of any kind. 1093774192 is maintained by the National Plan & Provider Enumeration System. The contents of Kerry Thomas Thibodeaux MD FACS are for informational purposes only.