Booth, Kiera Lyn
Booth, Kiera Lyn is an sole proprietor health care provider with primary practice located at 1101 Paoli Pike , West Chester PA 19380-4642. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Booth, Kiera Lyn can be contacted via phone (610) 918-2500.Contact Information
Primary practice address
1101 Paoli Pike
West Chester PA 19380-4642
Phone: (610) 918-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD466761 | Pennsylvania |
Profile Details
| NPI number | 1184006835 |
|---|---|
| LBN Legal business name | Booth, Kiera Lyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2015 |
| Last updated | Jul 3rd, 2019 - about 5 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 | 1184006835 | NPPES |
| Indiana | Other | 11018459A | INDIANA PROFESSIONAL LICENSING |
| Indiana | Other | MD466761 | INDIANA PROFESSIONAL LICENSING |
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