Boast, Kamala M
Boast, Kamala M is an individual health care provider with primary practice located at 1003 Willow Creek Road , Prescott AZ 86301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Boast, Kamala M can be contacted via phone (928) 771-5487.Contact Information
Primary practice address
1003 Willow Creek Road
Prescott AZ 86301
Phone: (928) 771-5487
Fax: (928) 771-5471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 223354 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4600 | Arizona |
Profile Details
| NPI number | 1639219520 |
|---|---|
| LBN Legal business name | Boast, Kamala M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Apr 27th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639219520 | NPPES |
| New York | MEDICAID | 2349911 |
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