IndividualActive
Kelly Boussert, M.D.
NPI 1679717136 · Interventional Pain Medicine Physician · Baton Rouge, LA
Provider details
- NPI number
- 1679717136
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD.207144 (LA)
Practice location
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Phone: (225) 924-2424
Fax: (225) 408-7980
Mailing address
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Registry dates
- Enumerated
- 2009-04-28
- Last updated
- 2021-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.