Physician Profile

Renee L. Boulicault, M.D.

Unclaimed Profile

About Dr. Boulicault

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Specialty

Obstetrics & Gynecology (Primary)
Obstetrics & Gynecology (Additional)
Obstetrics & Gynecology (Additional)

Credentials & Licensing

TN license70768
MO license103629
WI license4868-320
NPI1639148422
NPI issued03/15/2006

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Renee L. Boulicault specialize in?

Renee L. Boulicault is an OB-GYN in Kingsport, TN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Obstetrics & Gynecology”.

NPI registry

Where is Renee L. Boulicault located?

Renee L. Boulicault is listed at 105 W Park Dr, Kingsport, TN 37660. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Renee L. Boulicault's phone number?

The number on file is (423) 224-3220. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Renee L. Boulicault's NPI number?

Renee L. Boulicault's National Provider Identifier is 1639148422. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Renee L. Boulicault been practicing?

Renee L. Boulicault has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Renee L. Boulicault confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Renee L. Boulicault. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.