Booth, Kiera Lyn

Booth, Kiera Lyn is an sole proprietor health care provider with primary practice located at 1101 Paoli Pike , West Chester PA 19380-4642. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Booth, Kiera Lyn can be contacted via phone (610) 918-2500.

Contact Information

Primary practice address
1101 Paoli Pike West Chester PA 19380-4642
Phone: (610) 918-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD466761 Pennsylvania

Profile Details

NPI number 1184006835
LBN Legal business name Booth, Kiera Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2015
Last updated Jul 3rd, 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 1184006835 NPPES
Indiana Other 11018459A INDIANA PROFESSIONAL LICENSING
Indiana Other MD466761 INDIANA PROFESSIONAL LICENSING

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