Lookup NPI Numbers from the NPI Registry
NPI Profile for KELLY M BOESCH in LEBANON, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI Number | 1528492535 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 08/27/2013 | |
| Last updated | 11/06/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY M BOESCH
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KELLY M BOESCH, CRNP