Boland, Kelly K

Boland, Kelly K is an individual health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195-0001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Boland, Kelly K can be contacted via phone (800) 223-2273.

Contact Information

Primary practice address
9500 Euclid Ave Cleveland OH 44195-0001
Phone: (800) 223-2273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN283274 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 048765 Ohio

Profile Details

NPI number 1770556391
LBN Legal business name Boland, Kelly K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jan 11th, 2008 - about 16 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 1770556391 NPPES
Arizona MEDICAID 788911
Arizona Other BO8226057
Arizona Other P00024551
Arizona MEDICAID 2181491

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