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Contact Information

RENE A BOUCHER, DO
165 NATCHEZ TRACE AVE
SUITE 205
BOWLING GREEN, KY42103-7940
 Phone: 270-282-2024
 Fax: 270-393-1913
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for RENE A BOUCHER · (Female)

NPI # 1699769869
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/02/2005
Last updated 09/18/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 02561
  • KY Medicaid 64980105
Hospital affiliation(s) Not Available
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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