Kelly Ann Boie is a Pediatrics in Minnetonka, Minnesota. Kelly Ann Boie practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly Ann Boie is 1063485514. The last update date is 2016-05-03.
Kelly Ann Boie's current location address is 14001 Ridgedale Dr, Ste 100, Minnetonka, Minnesota. You can contact this provider via phone number 9524730211 and fax number 9524737908. The mailing address for Kelly Ann Boie is 14001 Ridgedale Dr, Ste 100, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Ann Boie |
|---|---|
| Address | 14001 Ridgedale Dr, Ste 100, Minnetonka, Minnesota |
| Phone Number | 9524730211 |
| Fax Number | 9524737908 |
| Sole Proprietor | N |
| Credentials | PPCNP-BC |
NPI Number Detail
| NPI Number | 1063485514 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2016-05-03 |
Provider Mailing Address Detail
| Address | 14001 Ridgedale Dr, Ste 100 |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553051781 |
| Phone Number | 9524730211 |
| Fax Number | 9524737908 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | CNP0812 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 731306300 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Ann Boie by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Ann Boie has been assigned the NPI (National Provider Identifier) 1063485514. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kelly Ann Boie's physical address?
The Kelly Ann Boie is physically located at 14001 Ridgedale Dr, Ste 100, in the city of Minnetonka, MN, with the postal code 553051781.
What is Kelly Ann Boie's area of expertise and its corresponding taxonomy classification?
The Kelly Ann Boie's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did Kelly Ann Boie receive its 1063485514 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Ann Boie was assigned its 1063485514 on 2006-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kelly Ann Boie, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Ann Boie, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-05-03.
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