Individual
KIRK ROUSSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 RUE DE LA VIE ST, SUITE 100, BATON ROUGE, LA 70817-5126
(225) 201-2000
(225) 201-2110
Mailing address
500 RUE DE LA VIE ST, SUITE 100, BATON ROUGE, LA 70817-5126
(225) 201-2000
(225) 201-2110
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
015423
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314072
—
LA
Enumeration date
12/16/2005
Last updated
09/27/2012
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