Boettcher, Kathleen M.
Boettcher, Kathleen M. is an individual health care provider with primary practice located at 3970 Deputy Bill Cantrel Memoiral Rd , Cumming GA 30040. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Boettcher, Kathleen M. can be contacted via phone (678) 513-2273.Contact Information
Primary practice address
3970 Deputy Bill Cantrel Memoiral Rd
Cumming GA 30040
Phone: (678) 513-2273
Fax: (678) 513-8869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-00745 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1775-023 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6565 | Georgia |
Profile Details
| NPI number | 1669472551 |
|---|---|
| LBN Legal business name | Boettcher, Kathleen M. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Sep 2nd, 2016 - about 10 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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