Boggs, Kelly Danielle

Boggs, Kelly Danielle is an individual health care provider with primary practice located at 10506 Montgomery Rd Ste 301A , Montgomery OH 45242-4400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Boggs, Kelly Danielle can be contacted via phone (513) 246-2400.

Contact Information

Primary practice address
10506 Montgomery Rd Ste 301A Montgomery OH 45242-4400
Phone: (513) 246-2400
Fax: (513) 246-4050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP.0030319 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.0030319 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.0030319 Ohio

Profile Details

NPI number 1366109498
LBN Legal business name Boggs, Kelly Danielle
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2021
Last updated Apr 26th, 2023 - about 2 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 1366109498 NPPES
Ohio MEDICAID 0462231

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