Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNY JOSEPH BOUDREAUX, BA. B.S. PSYCHOLOGY
ActiveMR. KENNY JOSEPH BOUDREAUX, BA. B.S. PSYCHOLOGY is a Case Manager healthcare provider located in GAUTIER, Mississippi. NPI 1750606646 is currently active in the NPPES registry. Verify at CMS.
Case Manager · GAUTIER, MS
Registration Details
- NPI Number
- 1750606646
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2010 (16.190528366947 yrs)
- Last Updated
- Apr 2, 2010
Practice Information
- Address
-
3407 SHAMROCK CTGAUTIER, MS, 395536429Browse MS providers · Browse ZIP 39553
- Phone
- 2284970690
- Fax
- 2284971363
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in GAUTIER, MS
| Name | Credential | NPI |
|---|---|---|
| MISS CARLISA ROCHELLE EDWARDS | BS | 1225165616 |
| MS. TAMMY AYANNA POWELL | BS | 1154458487 |
| MS. CHESKA SHARAE COLEMAN | BS | 1063549384 |
| MR. TY WILLIAM DENVER STAFFORD | BA | 1194852426 |
| MRS. CASSANDRA RENE WALKER | BS MS | 1942337365 |
| DONNA FAYE RODGERS | BS | 1316063860 |
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.