NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

KELLY D BOULDEN, MD
4521 S HULEN ST
SUITE 200
FORT WORTH, TX76109-4948
 Phone: 817-924-5252
 Fax: 817-924-6060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KELLY D BOULDEN · (Female)

NPI Number 1407820624
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 10/13/2008 - About 8 years ago
Sole proprietor 1 No
Identifiers
TX License # L4258
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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