Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Boudinot

Individual provider Critical Care Registered Respiratory Therapist · NPI 1003549304

Kevin Boudinot is a Critical Care Registered Respiratory Therapist in Fort Defiance, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

Corner Of Routes N12 & N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Registered Respiratory Therapist (primary) Taxonomy 2279C0205X · Licence 044405 (AZ)

Record details

NPI number1003549304
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 5, 2022
Last updated in NPPESJuly 5, 2022
Certification dateJune 24, 2022
Mailing address4141 W Bradshaw Creek Ln, Phoenix, AZ 85087-5811

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