Search › Wisconsin › 124Q00000X
Kimberly Boudreaux, RDH
NPI 1124385406 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5559 Deerfield Rd
Mount Pleasant, WI 53406 - Phone
- (262) 770-1824
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin