Thibodeaux, Kandice Marie

Thibodeaux, Kandice Marie is an sole proprietor health care provider with primary practice located at 4801 Ambassador Caffery Pkwy , Lafayette LA 70508-6917. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Thibodeaux, Kandice Marie can be contacted via phone (337) 470-4605.

Contact Information

Primary practice address
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917
Fax: (337) 470-4595
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 207913 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.207913 Louisiana

Profile Details

NPI number 1740541309
LBN Legal business name Thibodeaux, Kandice Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2012
Last updated May 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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