Boddicker, Kimberly Anne
Boddicker, Kimberly Anne is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Boddicker, Kimberly Anne can be contacted via phone (218) 786-3443.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 47894-20 | Wisconsin |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 16931 | North Dakota |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 47480 | Minnesota |
Profile Details
NPI number | 1821037946 |
---|---|
LBN Legal business name | Boddicker, Kimberly Anne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Dec 9th, 2020 - about 4 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 | 1821037946 | NPPES |
Minnesota | MEDICAID | 933138700 |
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