Broussard, Kali A

Broussard, Kali A is an individual health care provider with primary practice located at 9610 Maurice Ave , Maurice LA 70555-3255. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Broussard, Kali A can be contacted via phone (337) 470-3131.

Contact Information

Primary practice address
9610 Maurice Ave Maurice LA 70555-3255
Phone: (337) 470-3131
Fax: (337) 470-3315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 338039 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.139496 Ohio
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35.139496 Ohio
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 338039 Louisiana

Profile Details

NPI number 1023549409
LBN Legal business name Broussard, Kali A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated Jul 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023549409 NPPES
Ohio MEDICAID 0468063

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