# KANDICE MARIE THIBODEAUX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740541309
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD.207913 | LA | Yes |
| 208M00000X | Hospitalist Physician | 207913 | LA | — |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 05/07/2021