Boote, Kimberly A
Boote, Kimberly A is an individual health care provider with primary practice located at 432 King Dr , Waterloo IA 50702-5956. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Boote, Kimberly A can be contacted via phone (319) 234-5764.Contact Information
Primary practice address
432 King Dr
Waterloo IA 50702-5956
Phone: (319) 234-5764
Fax: (319) 234-1336
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | B-100517 | Iowa |
Profile Details
NPI number | 1538167887 |
---|---|
LBN Legal business name | Boote, Kimberly A |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2005 |
Last updated | Mar 13th, 2019 - about 6 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 | 1538167887 | NPPES |
Iowa | MEDICAID | 0417469 | |
Iowa | Other | IA0147 | |
Iowa | MEDICAID | 0076372 |
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