Thibodeaux, Kerry Thomas

Thibodeaux, Kerry Thomas is an individual health care provider with primary practice located at 1270 Attakapas Dr Ste 202, Opelousas LA 70570-6549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thibodeaux, Kerry Thomas can be contacted via phone (337) 948-4362.

Contact Information

Primary practice address
1270 Attakapas Dr Ste 202 Opelousas LA 70570-6549
Phone: (337) 948-4362
Fax: (337) 942-6523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 019158 Louisiana

Profile Details

NPI number 1093774192
LBN Legal business name Thibodeaux, Kerry Thomas
Credentials MD FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1093774192 NPPES
Louisiana MEDICAID 1374105

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