Boone, Kathleen A
Boone, Kathleen A is an individual health care provider with primary practice located at 9699 Ocean Hwy Waccmaaw Medical Center, Pawleys Island SC 29585-7425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Boone, Kathleen A can be contacted via phone (843) 237-4296.Contact Information
Primary practice address
9699 Ocean Hwy Waccmaaw Medical Center
Pawleys Island SC 29585-7425
Phone: (843) 237-4296
Fax: (843) 237-0495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | F1372 | South Carolina |
Profile Details
| NPI number | 1538143391 |
|---|---|
| LBN Legal business name | Boone, Kathleen A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Mar 5th, 2021 - about 3 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 | 1538143391 | NPPES |
| South Carolina | MEDICAID | GP1370 |
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