Boehm, Kristin A

Boehm, Kristin A is an individual health care provider with primary practice located at 3286 Northside Pkwy Nw Ste 1000 , Atlanta GA 30327-2294. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Boehm, Kristin A can be contacted via phone (404) 841-8450.

Contact Information

Primary practice address
3286 Northside Pkwy Nw Ste 1000 Atlanta GA 30327-2294
Phone: (404) 841-8450
Fax: (404) 841-8453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 050130 Georgia

Profile Details

NPI number 1093713208
LBN Legal business name Boehm, Kristin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Sep 27th, 2022 - 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 1093713208 NPPES
Georgia MEDICAID 00962068B

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