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

KELLY EATON BOUSSERT, M.D.

Active

KELLY EATON BOUSSERT, M.D. is a Interventional Vascular Surgery healthcare provider located in BATON ROUGE, Louisiana. NPI 1679717136 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · BATON ROUGE, LA

Registration Details

NPI Number
1679717136
Provider Type
Individual
Gender
Female
NPI Issued
Apr 28, 2009 (17.253350484297 yrs)
Last Updated
Jun 15, 2021
Licenses
MD.207144 (LA)
MD.207144 (LA)

Practice Information

Address
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA, 708107827
Browse LA providers · Browse ZIP 70810
Phone
2259242424
Fax
2254087980
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in BATON ROUGE, LA

Name Credential NPI
DR. JOHN CLIFTON CROSBY MD 1891783072
DR. ARNOLD ERWIN FELDMAN M.D. 1851370159
ALLISON GRAY WALKER PA - C 1427028042
DR. JIHAD G JIHA M.D. 1114997723
DR. JOSEPH W TURNIPSEED M.D. 1922079201
DR. JOHN BRASWELL M.D. 1164493458
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.