Individual
DR. KELLY JAMES BOUDREAUX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8080 BLUEBONNET BLVD., SUITE 3000, BATON ROUGE, LA 70810
(225) 766-8100
(225) 408-6896
Mailing address
8080 BLUEBONNET BLVD, SUITE 3000, BATON ROUGE, LA 70810
(225) 766-8100
(225) 408-6896
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
203731
LA
Other
Enumeration date
01/04/2007
Last updated
08/26/2010
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