Bomboy, Kristen
Bomboy, Kristen is an individual health care provider with primary practice located at 2010 Boren Blvd , Seminole OK 74868-2050. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bomboy, Kristen can be contacted via phone (405) 382-4507.Contact Information
Primary practice address
2010 Boren Blvd
Seminole OK 74868-2050
Phone: (405) 382-4507
Fax: (405) 382-5269
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | N5739001 | Oklahoma |
Profile Details
NPI number | 1316983075 |
---|---|
LBN Legal business name | Bomboy, Kristen |
Credentials | APRN CNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2006 |
Last updated | Sep 23rd, 2015 - about 9 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 | 1316983075 | NPPES |
Oklahoma | MEDICAID | 200019070A |
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