MR. James Kevin Modisette, M.D.

NPI #1063413995 in Thibodaux, Louisiana

Provider Information

NPI Number: 1063413995
Entity Type: Individual
Name: MR. James Kevin Modisette, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Nephrology
Credential: M.D.
Enumeration Date: Aug 2, 2005
Last Updated: Sep 25, 2009

Practice Location

Address: 604 N. ACADIA RD.
Address 2: SUITE 405
City: Thibodaux
State: Louisiana
ZIP Code: 70301
Phone: (985) 446-0871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Nephrology — Nephrology	207RN0300X	Primary

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