Boden, Kathryn Everhart

Boden, Kathryn Everhart is an individual health care provider with primary practice located at 4401 Ramsey Street, Fast Med Urgent Care Suite 104, Fayetteville NC 28311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boden, Kathryn Everhart can be contacted via phone (910) 354-3372.

Contact Information

Primary practice address
4401 Ramsey Street, Fast Med Urgent Care Suite 104 Fayetteville NC 28311
Phone: (910) 354-3372
Fax: (910) 491-5813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1962611384
LBN Legal business name Boden, Kathryn Everhart
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated May 25th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962611384 NPPES
North Carolina Other 101227 LICENSE NUMBER

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