Boothby, Kathy L

Boothby, Kathy L is an individual health care provider with primary practice located at 54 Atlantic Pl Beacon Hospice/Amedisys, South Portland ME 04106-2316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Boothby, Kathy L can be contacted via phone (207) 772-0929.

Contact Information

Primary practice address
54 Atlantic Pl Beacon Hospice/Amedisys South Portland ME 04106-2316
Phone: (207) 772-0929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 036390-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP81113 Maine

Profile Details

NPI number 1427032432
LBN Legal business name Boothby, Kathy L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 27th, 2017 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427032432 NPPES
New Hampshire MEDICAID 30343033
New Hampshire Other 1427032432
New Hampshire Other 40Y007193NH01

Popular Providers