Mr. James Kevin Modisette
Nephrologist
604 N. Acadia Rd. Suite 405
Thibodaux
, Louisiana 70301
Mr. James Kevin Modisette
Nephrologist
604 N. Acadia Rd. Suite 405
Thibodaux
, Louisiana 70301
(985) 446-0874
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Mr. James Kevin Modisette
- 604 N. Acadia Rd. Suite 405
- Thibodaux, LA
- Zip : 70301
- Fax : (985) 446-0874
- Phone : (985) 446-0871
Second Address
- Mr. James Kevin Modisette
- 604 N. Acadia Rd. Suite 405
- Thibodaux, LA
- Zip : 70301
- Fax : (985) 446-0874
- Phone : (985) 446-0871
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 22699 | LA |
National Provider Identifier
| NPI | 1063413995 |
|---|---|
| Provider Name | Mr. James Kevin Modisette |
| First Address | Thibodaux, LA 70301 |
| Second Address | Thibodaux, LA 70301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 25/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1492141 | (05) | LA |
| 7814220 | AETNA (01) | |
| G57889 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.