Kristy Rae Boan in Pinehurst - Physician Assistant

Kristy Rae Boan - NPI 1538133558

Kristy Rae Boan is a Physician Assistant in Pinehurst, North Carolina. Kristy Rae Boan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristy Rae Boan is 1538133558. The last update date is 2012-03-07.

Kristy Rae Boan's current location address is 155 Memorial Dr, Pinehurst, North Carolina. You can contact this provider via phone number 9107152164 and fax number 9107151926. The mailing address for Kristy Rae Boan is 155 Memorial Dr, Pinehurst, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristy Rae Boan
Address 155 Memorial Dr, Pinehurst, North Carolina
Phone Number 9107152164
Fax Number 9107151926
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1538133558
Provider Enumeration Date 2006-02-15
Last Updated Date 2012-03-07

Provider Mailing Address Detail

Address 155 Memorial Dr
City Pinehurst
State North Carolina (NC)
Post Code 283748710
Phone Number 9107152164
Fax Number 9107151926

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 0010-02678
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100506041 NV --

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FAQs about Kristy Rae Boan

What is the unique identification code assigned to Kristy Rae Boan by the Centers for Medicare & Medicaid Services?

The Kristy Rae Boan has been issued the NPI (National Provider Identifier) 1538133558. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

What is the unique 10-digit identifier code assigned to Kristy Rae Boan by the Centers for Medicare & Medicaid Services?

The Kristy Rae Boan has been issued the NPI (National Provider Identifier) 1538133558 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

What is Kristy Rae Boan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kristy Rae Boan's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did Kristy Rae Boan receive its 1538133558 assignment from the Centers for Medicare & Medicaid Services?

The Kristy Rae Boan was assigned its 1538133558 on 2006-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Centers for Medicare & Medicaid Services assign the 1538133558 to Kristy Rae Boan?

The Centers for Medicare & Medicaid Services assigned the 1538133558 to Kristy Rae Boan on 2006-02-15.

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