Boesch, Kelly M
Boesch, Kelly M is an individual health care provider with primary practice located at 618 Cornwall Rd Building 2, Lebanon PA 17042-7089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boesch, Kelly M can be contacted via phone (717) 279-6700.Contact Information
Primary practice address
618 Cornwall Rd Building 2
Lebanon PA 17042-7089
Phone: (717) 279-6700
Fax: (717) 279-6759
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | SP013294 | Pennsylvania |
Profile Details
NPI number | 1528492535 |
---|---|
LBN Legal business name | Boesch, Kelly M |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2013 |
Last updated | Nov 6th, 2014 - about 11 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 | 1528492535 | NPPES |
Pennsylvania | Other | SP013294 | LICENSE |
Pennsylvania | MEDICAID | 102888103 0001 | LICENSE |
Popular Providers
-
Backus, Kathryn
2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569 -
Berry, Ericca S
107 Dilworth St , Glendive MT 59330-2053 -
Saunders, Janel P
13123 E 16Th Ave , Aurora CO 80045-7106 -
Natal, Abelina
1702 N. Alamo Suite 220, San Antonio TX 78215-1213 -
Cochran, Elaine K
Nih Niddk Deob 10 Center Drive Crc 6 5940 , Bethesda MD 20892-0001 -
Dingler, Nancy S
618 Cornwall Rd Building 2, Lebanon PA 17042-7089 -
Metcalf, Sharon C
555 S Floyd St , Louisville KY 40202-3801 -
Byrne, Westley
1400 S 5Th St , Philadelphia PA 19147-5919