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KYLE BOUDREAUX
NPI 1114676590
Student in an Organized Health Care Education/Training Program in Bradenton, FL

Active since March 22, 2022
2020 59TH ST W, BRADENTON, FL 34209(941) 792-6611 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Boudreaux NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE BOUDREAUX (NPI 1114676590) is an individual student in an organized health care education/training program in Bradenton, Florida and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1114676590
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE BOUDREAUX
Location Address2020 59TH ST WBradenton, FL 34209-4604
Mailing Address2020 59th St WBradenton, FL 34209-4604
Phone(941) 792-6611
Sole ProprietorYes
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1114676590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2020 59TH ST W, Bradenton, FL 34209
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANGUARD EMERGENCY PHYSICIANS, LLC
Emergency Medicine
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (469) 401-2386
DR. ISHPAUL BHAMBER DO
Internal Medicine
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 792-6611
CONNOR JOSEPH BREIDENBACH DO
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 792-6611
BRYAN NAJJAR PA
Hospitalist
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (706) 863-9595
NANCY GIBBS
Occupational Therapist
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 798-6557
JEREMY HEAD
Radiology (Diagnostic Radiology)
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 798-6513
AHMAD GHAFOOR MD
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 567-2581
AMMALIE BITTAR
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 567-2581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Boudreaux's NPI number?

The NPI number for Kyle Boudreaux is 1114676590. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Kyle Boudreaux located?

Kyle Boudreaux practices at 2020 59th St W, Bradenton, FL 34209. The listed phone number is (941) 792-6611.

What is Kyle Boudreaux's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kyle Boudreaux was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.