Boucher, Kent Andrew

Boucher, Kent Andrew is an individual health care provider with primary practice located at 701 W 5Th St , Odessa TX 79763-4206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Boucher, Kent Andrew can be contacted via phone (432) 703-5011.

Contact Information

Primary practice address
701 W 5Th St Odessa TX 79763-4206
Phone: (432) 703-5011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X S2734 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X S2734 Texas

Profile Details

NPI number 1144725755
LBN Legal business name Boucher, Kent Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated Jun 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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