DR. RENEE BOULICAULT, M.D.
Hospitalist
Active
Individual
NPI: 1639148422
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Obstetrics & Gynecology | 207V00000X | No | 70768 (TN) |
| Hospitalist | 208M00000X | Yes | 70768 (TN) |
Frequently Asked Questions
NPI 1639148422 is the National Provider Identifier for DR. RENEE BOULICAULT, M.D., a Hospitalist provider located in Kingsport, TN. This NPI was enumerated on March 15, 2006.
DR. RENEE BOULICAULT, M.D. practices at 105 W PARK DR, Kingsport, TN 37660.
Quick Facts
- NPI
- 1639148422
- Type
- Individual
- Enumerated
- Mar 15, 2006
- Last Updated
- Sep 5, 2025
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