Boulden, Neesaytee Kimberly

Boulden, Neesaytee Kimberly is an individual health care provider with primary practice located at 12 St Paul Dr , Chambersburg PA 17201-1035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Boulden, Neesaytee Kimberly can be contacted via phone (717) 217-6882.

Contact Information

Primary practice address
12 St Paul Dr Chambersburg PA 17201-1035
Phone: (717) 217-6882
Fax: (717) 217-6883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD471312 Pennsylvania

Profile Details

NPI number 1972952919
LBN Legal business name Boulden, Neesaytee Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2016
Last updated Jul 21st, 2020 - about 4 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 1972952919 NPPES
Pennsylvania Other 14590947 CAQH

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