Individual
DR. KENNETH GERARD BOUTTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
416 MEMORIAL BLVD, PICAYUNE, MS 39466-5544
(601) 798-0330
Mailing address
11211 I 10 SERVICE RD, NEW ORLEANS, LA 70128-2248
(504) 458-9311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
48331
TX
183500000X
Pharmacist
Primary
T-010671
MS
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us