Boie, Kelly Ann

Boie, Kelly Ann is an individual health care provider with primary practice located at 14001 Ridgedale Dr, Ste 100 , Minnetonka MN 55305-1781. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Boie, Kelly Ann can be contacted via phone (952) 473-0211.

Contact Information

Primary practice address
14001 Ridgedale Dr, Ste 100 Minnetonka MN 55305-1781
Phone: (952) 473-0211
Fax: (952) 473-7908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X R1121373 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X CNP0812 Minnesota

Profile Details

NPI number 1063485514
LBN Legal business name Boie, Kelly Ann
Credentials PPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 3rd, 2016 - about 8 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 1063485514 NPPES
Minnesota MEDICAID 731306300

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