Kenzie Boese
Individual provider Active NPI Registered Nurse · Weatherford, OK
NPI 1295429587 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1295429587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R0129667 (OK)
- Practice address
- 100 Campus Dr
Weatherford, OK 73096-3001 - Phone
- (580) 774-3776
- NPI assigned
- Jun 8, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0129667 | OK | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0129667 | OK | Yes |
Addresses
Primary practice location
100 Campus Dr
Weatherford, OK 73096-3001
Mailing address
100 Campus Dr
Weatherford, OK 73096-3001
Other providers in Weatherford, OK
- Julie Black
- Blake a Badgett MD PC
- Natalie Bloomer
- Bluth Family Medicine, LLC
- Brian Bluth
- Darcy Marie Brewster
- Brittani Sue Brice
- Krista Brooks
- Ryan Brooks
- Mayzey Brown
All providers in Weatherford, OK · Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.