National Provider Identifier Database

KELLY E BOUSSERT, MD – NPI #1679717136
Interventional Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.


Contact Information

KELLY E BOUSSERT, MD
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA70810-7827
Phone: 225-924-2424
Fax: 225-408-7980
Website:
Specialty Taxonomy Code
* Interventional Pain Medicine 208VP0014X
Pain Medicine 207LP2900X

* Indicates primary specialty

NPI Profile & details for KELLY E BOUSSERT

NPI Number 1679717136
Credentials MD
Entity Individual
Enumeration date 04/28/2009
Last updated 06/15/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • LA License #: MD.207144
  • LA Medicaid: 1883450
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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