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
Fax: (405) 382-5269
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316983075 NPPES
Oklahoma MEDICAID 200019070A

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