Boote, Kimberly A

Boote, Kimberly A is an individual health care provider with primary practice located at 432 King Dr , Waterloo IA 50702-5956. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Boote, Kimberly A can be contacted via phone (319) 234-5764.

Contact Information

Primary practice address
432 King Dr Waterloo IA 50702-5956
Phone: (319) 234-5764
Fax: (319) 234-1336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X B-100517 Iowa

Profile Details

NPI number 1538167887
LBN Legal business name Boote, Kimberly A
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Mar 13th, 2019 - about 7 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 1538167887 NPPES
Iowa MEDICAID 0417469
Iowa Other IA0147
Iowa MEDICAID 0076372

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