location
search-icon
person
Dr. Renee L Boulicault, MD
Obstetrics & Gynecology Physician in Kingsport, Tennessee
NPI 1639148422

Renee L Boulicault is a Obstetrics & Gynecology Physician based in Johnson City, TN. Renee L Boulicault practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for Renee L Boulicault is 1639148422 and holds a License No. 103629 (Tennessee).

The current practice location address for Renee L Boulicault is 105 W Park Dr, Kingsport, TN and can be reached out via phone at 423-224-3220.

Location: 105 W Park Dr, Kingsport, TN, 37604-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639148422
Provider Name
Renee L Boulicault
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
105 W Park Dr, Kingsport, TN, 37604-2192
Phone Number
423-224-3220
Fax Number
Provider Enumeration Date
03/15/2006
Last Update Date
10/19/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1639148422 05 WI
institution
Provider Business Practice Location Address Details
Address
105 W Park Dr
City
Kingsport
State
Tennessee
Zip
37660-3805
Phone Number
423-224-3220
Fax Number
person
Provider Business Mailing Address Details
Address
105 W Park Dr
City
Kingsport
State
Tennessee
Zip
37660-3805
Phone Number
423-224-3220
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
103629 (Missouri)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.