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Contact Information

KAMALA M BOAST, DO
1003 WILLOW CREEK ROAD
PRESCOTT, AZ86301
 Phone: 928-771-5487
 Fax: 928-771-5471
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KAMALA M BOAST · (Female)

NPI # 1639219520
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/08/2007
Last updated 04/27/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 4600
  • NY License # 223354
  • NY Medicaid 2349911
Hospital affiliation(s)
  • YAVAPAI REGIONAL MEDICAL CENTER - (Acute Care)
    1003 WILLOW CREEK ROAD
    PRESCOTT, AZ 86301
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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