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
Phone: (337) 470-4605
Fax: (337) 470-4595
Website:
Health care specialties
| Specialty | Code | License # | 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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