Boultinghouse, Kim Marie

Boultinghouse, Kim Marie is an individual health care provider with primary practice located at 94-1141 Akeu Pl , Waipahu HI 96797-4039. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / School. Nursing Service Providers / School is her primary health care specialty. Boultinghouse, Kim Marie can be contacted via phone (503) 703-8191.

Contact Information

Primary practice address
94-1141 Akeu Pl Waipahu HI 96797-4039
Phone: (503) 703-8191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 72108 Hawaii
Nursing Service Providers / School 163WS0200X 72108 Hawaii

Profile Details

NPI number 1356904049
LBN Legal business name Boultinghouse, Kim Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2019
Last updated Apr 17th, 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.

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