Boland, Bobby D.

Boland, Bobby D. is an sole proprietor health care provider with primary practice located at 402 Recovery Rd , Kennett MO 63857-3235. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Boland, Bobby D. can be contacted via phone (573) 888-0274.

Contact Information

Primary practice address
402 Recovery Rd Kennett MO 63857-3235
Phone: (573) 888-0274
Fax: (573) 888-1225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 152914 Missouri

Profile Details

NPI number 1699917559
LBN Legal business name Boland, Bobby D.
Credentials AFNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2009
Last updated Mar 24th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699917559 NPPES
Missouri Other 152914 STATE LISCENCE

Popular Providers