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Mr. James Kevin Modisette, MD
Nephrology Physician in Thibodaux, Louisiana
NPI 1063413995

James Kevin Modisette is a Nephrology Physician based in Thibodaux, LA and is specialized in Nephrology. James Kevin Modisette practices in Thibodaux, LA and has the professional credentials of MD. The NPI Number for James Kevin Modisette is 1063413995 and holds a License No. 22699 (Louisiana).

The current practice location address for James Kevin Modisette is 604 N. Acadia Rd., Thibodaux, LA and can be reached out via phone at 985-446-0871 and via fax at 985-446-0874. You can also correspond with James Kevin Modisette through the mailing address at 604 N. ACADIA RD., THIBODAUX, LA - 70301 (mailing address contact number: 985-446-0871).

Location: 604 N. Acadia Rd., Thibodaux, LA, 70301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063413995
Provider Name
James Kevin Modisette
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
604 N. Acadia Rd., Thibodaux, LA, 70301
Phone Number
985-446-0871
Fax Number
985-446-0874
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1492141 05 LA
7814220 01 AETNA
institution
Provider Business Practice Location Address Details
Address
604 N. Acadia Rd.
City
Thibodaux
State
Louisiana
Zip
70301
Phone Number
985-446-0871
Fax Number
985-446-0874
person
Provider Business Mailing Address Details
Address
604 N. Acadia Rd.
City
Thibodaux
State
Louisiana
Zip
70301
Phone Number
985-446-0871
Fax Number
985-446-0874
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
22699 (Louisiana)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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