KIM P. BROUSSARD

LAFAYETTE, LA
NPI1578523718
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN037148/AP02026)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
-- KIM P. BROUSSARD CRNA
1101 S COLLEGE RD SUITE 100
LAFAYETTE, LA 70503-3038
Phone number: 337-233-8603
Mailing Address
-- KIM P. BROUSSARD CRNA
PO BOX 1447
ABBEVILLE, LA 70511-1447
Phone number: 337-898-2803
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