Individual
KENT ALLAN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 COOLIDGE BLVD STE 303, LAFAYETTE, LA 70503-2636
(337) 232-6697
(337) 232-3147
Mailing address
1211 COOLIDGE BLVD STE 303, LAFAYETTE, LA 70503-2636
(337) 232-6697
(337) 232-3147
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
326325
LA
Other
Enumeration date
06/25/2018
Last updated
07/29/2024
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