IndividualActive
Rene Boucher, DO
NPI 1699769869 · Interventional Pain Medicine Physician · Bowling Green, KY
Provider details
- NPI number
- 1699769869
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 02561 (KY)
Practice location
165 Natchez Trace Ave
Suite 205
Bowling Green, KY 42103-7940
Phone: (270) 282-2024
Fax: (270) 393-1913
Mailing address
350 Park St
Bowling Green, KY 42101-1784
Registry dates
- Enumerated
- 2005-09-02
- Last updated
- 2009-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.