Kerry T. Thibodeaux MD Apmc

NPI #1407883556 in Opelousas, Louisiana

Provider Information

NPI Number: 1407883556
Entity Type: Organization
Organization Name: Kerry T. Thibodeaux MD Apmc
Primary Specialty: Surgery
Enumeration Date: Jun 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1233 WAYNE GILMORE CIRLCE
Address 2: SUITE 205B
City: Opelousas
State: Louisiana
ZIP Code: 70570
Phone: (337) 948-4362

Authorized Official

Name: DR. KERRY T. THIBODEAUX, MD FACS
Title: OWNER
Phone: (337) 948-4362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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