Boothby-Downing, Kimberly

Boothby-Downing, Kimberly is an individual health care provider with primary practice located at 716 Stevens Ave , Portland ME 04103-2656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Boothby-Downing, Kimberly can be contacted via phone (207) 221-4242.

Contact Information

Primary practice address
716 Stevens Ave Portland ME 04103-2656
Phone: (207) 221-4242
Fax: (207) 523-1913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R024613 Maine

Profile Details

NPI number 1972589331
LBN Legal business name Boothby-Downing, Kimberly
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Mar 17th, 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 1972589331 NPPES
Maine MEDICAID 251010099

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