Kevin Raymond Bourgeois Jr., DO
Emergency Medicine in Gulfport, MS. Individual provider (NPI-1).
NPI number1437646239
StatusActive
Last updated in NPPESFeb 14, 2023
Details
- NPI
- 1437646239
- Entity type
- Individual (NPI-1)
- Name
- Kevin Raymond Bourgeois Jr.
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2018
- Certification date
- Feb 14, 2023
- Last updated
- Feb 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 27785 | MS | Yes |
| 207P00000X | Emergency Medicine | 325332 | LA |
Practice location
4500 13th StGulfport, MS 39501-2515
Phone 228-865-3151
Mailing address
4500 13th StGulfport, MS 39501-2515
Phone 228-865-3151
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All 32 Emergency Medicine Physician providers in Gulfport · All 2,821 providers in Gulfport
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