KELLY EATON BOUSSERT

BATON ROUGE, LA
NPI1679717136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: LA  MD.207144)
Additional Taxonomies207LP2900X Anesthesiology, Pain Medicine
(Licence: LA  MD.207144)
Enumeration Date2009-04-28
Last Update Date2021-06-15
Business Address
KELLY EATON BOUSSERT M.D.
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810-7827
Phone number: 225-924-2424
Mailing Address
KELLY EATON BOUSSERT M.D.
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810-7827
Phone number: 225-924-2424