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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KIMBERLY BOUDREAUX, RDH

Active Sole Proprietor

MS. KIMBERLY BOUDREAUX, RDH is a Dental Hygienist healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1124385406 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · MOUNT PLEASANT, WI

Registration Details

NPI Number
1124385406
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2012 (14.159561530803 yrs)
Last Updated
Apr 11, 2012
License
6369-016 (WI)
Sole Proprietor
Yes

Practice Information

Address
5559 DEERFIELD RD
MOUNT PLEASANT, WI, 534061819
Browse WI providers · Browse ZIP 53406
Phone
2627701824
Primary Specialty
Dental Hygienist
124Q00000X

Other Dental Hygienist Providers in MOUNT PLEASANT, WI

Name Credential NPI
TANYA LARSEN RDH 1386050052
KRISTINE BLUMM 1134575566
CINDI DUE RDH 1669920831
KAREN DIANE MARANO RDH 1538600135
DEBORAH FREDERICKSON 1366941437
KANDACE ANDERSON RDH 1801389887
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.