Boatright, Kevin

Boatright, Kevin is an individual health care provider with primary practice located at 301 N Washington St Suite 5, Farmington MO 63640-1751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Boatright, Kevin can be contacted via phone (573) 756-1744.

Contact Information

Primary practice address
301 N Washington St Suite 5 Farmington MO 63640-1751
Phone: (573) 756-1744
Fax: (573) 756-2499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R7D62 Missouri
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X R7D62 Missouri

Profile Details

NPI number 1629185103
LBN Legal business name Boatright, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Nov 13th, 2012 - about 13 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 1629185103 NPPES
Missouri MEDICAID 201971702

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