Individual provider · Type 1 NPI

Kelly Eaton Boussert, MD

Interventional Pain Medicine Physician · Baton Rouge, LA

NPI number 1679717136 Active

Practice location

8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827

Call (225) 924-2424 Map

Fax (225) 408-7980

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician 207LP2900XMD.207144 (LA)
Interventional Pain Medicine Physician Primary 208VP0014XMD.207144 (LA)

Interventional Pain Medicine Physician: 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.

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About NPI 1679717136

Kelly Eaton Boussert, MD's National Provider Identifier is 1679717136, issued on Apr 28, 2009. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Baton Rouge, LA. The record was last updated on Jun 15, 2021.