Kathryn Boggs, RN

Individual provider Active NPI Registered Nurse · East Liverpool, OH

NPI 1245682111 · NPPES record last updated Jul 5, 2016

Key facts

NPI
1245682111
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN295761 (OH)
Practice address
15303 State Route 170
East Liverpool, OH 43920-9585
Phone
(330) 385-1000
Fax
(330) 385-3588
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN295761OHMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN295761 OH Yes

Addresses

Primary practice location

15303 State Route 170
East Liverpool, OH 43920-9585

Mailing address

16198 Longs Church Rd
East Liverpool, OH 43920-9575
Phone (330) 385-1000

Other providers in East Liverpool, OH

All providers in East Liverpool, OH · Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.