NPI Profile for KELLY E BOUSSERT in BATON ROUGE, LA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology |
| NPI Number | 1679717136 |
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| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/28/2009 | |
| Last updated | 06/15/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KELLY E BOUSSERT
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| DARIC D BASS SR, LMT, CPT, CES. 126 BELLEAUWOOD CIRCLE 126 BELLEAUWOOD CIRCLE, BELLE CHASSE, LA, LA |