Boudreaux, Kimberly

Boudreaux, Kimberly is an sole proprietor health care provider with primary practice located at 5559 Deerfield Rd , Mount Pleasant WI 53406-1819. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Boudreaux, Kimberly can be contacted via phone (262) 770-1824.

Contact Information

Primary practice address
5559 Deerfield Rd Mount Pleasant WI 53406-1819
Phone: (262) 770-1824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 6369-016 Wisconsin

Profile Details

NPI number 1124385406
LBN Legal business name Boudreaux, Kimberly
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2012
Last updated Apr 11th, 2012 - about 13 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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